Individual
MARLEN LIZBETH LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
808 COFFEEN AVE, SHERIDAN, WY 82801-5318
(307) 763-8701
Mailing address
808 COFFEEN AVE, SHERIDAN, WY 82801-5318
(307) 763-8701
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
47059
WY
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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