Individual
MRS. HEATHER B LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1215 21ST AVE S, SUITE 3108, NASHVILLE, TN 37232-8413
(615) 343-6336
(615) 343-1966
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
141689
TN
163W00000X
Registered Nurse
345589
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
082921
TN
Other
Enumeration date
01/19/2010
Last updated
03/25/2022
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