Individual
TRICIA LEE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 743-3007
(906) 779-3148
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
(906) 779-3148
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
22143050501
MI
Other
Enumeration date
07/12/2006
Last updated
05/21/2024
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