Individual
KELLY ANN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNAP, MSN
Contact information
Practice address
9023 E DESERT COVE AVE STE 101, SCOTTSDALE, AZ 85260-6779
(480) 407-6400
(480) 407-6520
Mailing address
4622 E LE MARCHE AVE, PHOENIX, AZ 85032-4218
(619) 971-0312
(480) 407-6520
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1231
AZ
Other
Enumeration date
06/07/2016
Last updated
08/18/2022
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