Individual
SHANNON LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
101 WILLMAR AVE SW, WILLMAR, MN 56201-3556
(320) 231-5000
(320) 231-5067
Mailing address
101 WILLMAR AVE SW, WILLMAR, MN 56201-3556
(320) 231-5000
(320) 231-5067
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP3193
MN
363LG0600X
Gerontology Nurse Practitioner
R1789773
MN
Other
Enumeration date
09/13/2012
Last updated
03/27/2023
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