Individual
KRISTINE MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
101 E MINNESOTA ST STE 210, RAPID CITY, SD 57701-7758
(605) 342-3280
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
(605) 342-3280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001463
SD
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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