Individual
CATHERYN ANN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2750 E BELTLINE AVE NE FL 3, GRAND RAPIDS, MI 49525-8614
(616) 447-5820
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704334673
MI
Other
Enumeration date
02/03/2021
Last updated
05/20/2022
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