Individual
NOEL K LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 595-2505
(508) 854-0650
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 595-2505
(508) 854-0650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
166691
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
THREE RIVERS
—
05
—
325121
—
MA
01
—
4142201
MVP HEALTH CARE
—
01
—
500011895
RAILROAD MEDICARE
—
01
—
54933
FALLON COMMUNITY HEALTH P
—
01
—
AA3671
HARVARD PILGRIM HEALTHCAR
—
01
—
NP1277
MEDICARE B
—
Enumeration date
03/02/2006
Last updated
02/16/2009
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