Individual
PAMELA A LARSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 626-3000
Mailing address
15966 71ST PL N, MAPLE GROVE, MN 55311-2543
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R-120297-5
MN
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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