Individual
BRENDA LEE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15132 E HAMPDEN AVE STE G, AURORA, CO 80014-5038
(303) 360-6276
Mailing address
3701 S BROADWAY, ENGLEWOOD, CO 80113-3611
(303) 360-6276
(303) 761-2787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105593
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83280839
—
CO
01
—
CO306791
MEDICARE
—
Enumeration date
02/07/2006
Last updated
02/08/2019
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