Individual
BRANDI LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 22ND AVE, KEARNEY, NE 68845-2206
(308) 455-3600
(308) 455-3950
Mailing address
804 22ND AVE, KEARNEY, NE 68845-2206
(308) 455-3600
(308) 455-3950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
70213
NE
363LF0000X
Family Nurse Practitioner
Primary
111691
NE
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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