Individual
LAURA DENISE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 352-2411
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(480) 798-1903
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
199153
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP1105
AZ
Other
Enumeration date
08/06/2014
Last updated
04/15/2026
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