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Individual

MEGAN LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN CRNA

Contact information

Practice address
128 W PINE ST, PINEDALE, WY 82941-5314
(801) 682-0453
Mailing address
PO BOX 687, PINEDALE, WY 82941-0687
(801) 682-0453

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
49916
WY
163W00000X
Registered Nurse
RN195925
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
49916
WY
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1199
AZ

Other

Enumeration date
01/22/2016
Last updated
06/23/2026
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