Individual
BRYANNA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
20124430
WI
176B00000X
Midwife
Primary
10968
WI
Other
Enumeration date
01/20/2026
Last updated
08/19/2026
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