Individual
MRS. ALISSA MARIE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7400
Mailing address
1502 6TH AVE W, WILLISTON, ND 58801-3910
(701) 570-9329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05231087
ND
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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