Individual
MS. BONNIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-NP
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 476-2989
(612) 725-2142
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 476-2989
(612) 725-2142
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 097118-4
MN
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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