Shelly Lynn Larson in Saint Paul - Physician Assistant
Shelly Lynn Larson - NPI 1982690145
Shelly Lynn Larson is a Physician Assistant in Saint Paul, Minnesota. Shelly Lynn Larson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shelly Lynn Larson is 1982690145. The last update date is 2012-05-14.
Shelly Lynn Larson's current location address is 4480 Centerville Rd, Saint Paul, Minnesota. You can contact this provider via phone number 6514842724 and fax number 6514842723. The mailing address for Shelly Lynn Larson is 4480 Centerville Rd, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly Lynn Larson |
|---|---|
| Address | 4480 Centerville Rd, Saint Paul, Minnesota |
| Phone Number | 6514842724 |
| Fax Number | 6514842723 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1982690145 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2012-05-14 |
Provider Mailing Address Detail
| Address | 4480 Centerville Rd |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551273674 |
| Phone Number | 6514842724 |
| Fax Number | 6514842723 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9815 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Shelly Lynn Larson by the Centers for Medicare & Medicaid Services?
The Shelly Lynn Larson has been assigned the NPI (National Provider Identifier) 1982690145. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shelly Lynn Larson is physically located?
The Shelly Lynn Larson is situated at the following address: 4480 Centerville Rd, Saint Paul, MN 551273674.
What is Shelly Lynn Larson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shelly Lynn Larson's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When was the Shelly Lynn Larson's 1982690145 issued?
The Shelly Lynn Larson's 1982690145 was issued on 2005-09-23.
As of what date were the details related to Shelly Lynn Larson most recently updated or revised?
The information pertaining to Shelly Lynn Larson, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-14.
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