Individual
CHRISTINE M LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP FNP-BC
Contact information
Practice address
10701 W RESEARCH DR, WAUWATOSA, WI 53226-3452
(262) 345-5343
(262) 438-1327
Mailing address
12168 W VIRGINIA CIR, UNIT 7, FRANKLIN, WI 53132-2051
(414) 378-9895
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4607-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011006035
ANCC CERTIFICATION FNP
WI
Enumeration date
10/27/2011
Last updated
04/06/2015
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