Individual
SHELBY LEE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/CNP
Contact information
Practice address
1615 MAPLE LN STE 1, ASHLAND, WI 54806-3610
(715) 685-7500
(715) 682-2481
Mailing address
400 EAST THIRD STREET, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
178107
WI
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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