Individual
ERIC LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2321 W DAYTON AIRPORT RD, POST OFFICE BOX 900, SHELTON, WA 98584-6319
(360) 426-4433
Mailing address
2321 W DAYTON AIRPORT RD, PO BOX 900, SHELTON, WA 98584-6319
(360) 426-4433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60104511
WA
Other
Enumeration date
05/17/2010
Last updated
12/27/2012
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