Individual
JENNY LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, RN
Contact information
Practice address
13220 S 154TH ST, GILBERT, AZ 85296-4400
(480) 664-7463
Mailing address
13220 S 154TH ST, GILBERT, AZ 85296-4400
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
253938
AZ
176B00000X
Midwife
Primary
LM197
AZ
374J00000X
Doula
—
—
Other
Enumeration date
07/22/2013
Last updated
08/29/2023
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