Individual
ELIZABETH L LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8080
Mailing address
4635 PINETREE CURV, EAGAN, MN 55122-3700
(952) 403-2305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
655226900
—
MN
Enumeration date
06/07/2006
Last updated
07/14/2025
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