Individual
NATHAN LARASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 CONSTITUTION PL NE STE 400, ALBUQUERQUE, NM 87110-7644
(505) 724-7300
(505) 724-7188
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 724-7300
(505) 724-7188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R63920
NM
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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