Individual
JOSHUA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9640 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2217
(505) 294-4167
Mailing address
6004 ESTRELLITA DEL NORTE RD NE, ALBUQUERQUE, NM 87111-1365
(505) 250-0874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02713
NM
Other
Enumeration date
07/15/2015
Last updated
06/08/2023
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