Paul Robert Larson in East Wenatchee - Family
Paul Robert Larson - NPI 1629134960
Paul Robert Larson is a Family in East Wenatchee, Washington. Paul Robert Larson practices all healthcare services and medical treatments related to Family. The NPI Number for Paul Robert Larson is 1629134960. The last update date is 2022-06-29.
Paul Robert Larson's current location address is 100 Highline Dr, East Wenatchee, Washington. You can contact this provider via phone number 5098840641. The mailing address for Paul Robert Larson is 100 Highline Dr, East Wenatchee, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Robert Larson |
|---|---|
| Address | 100 Highline Dr, East Wenatchee, Washington |
| Phone Number | 5098840641 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1629134960 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2022-06-29 |
Provider Mailing Address Detail
| Address | 100 Highline Dr |
|---|---|
| City | East Wenatchee |
| State | Washington (WA) |
| Post Code | 988025341 |
| Phone Number | 5098840641 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R1340646 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1629134960 | WA | -- | |
| 316364 | WA | L&I |
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What is the unique identifier code issued to Paul Robert Larson by the Centers for Medicare & Medicaid Services?
The Paul Robert Larson has been assigned the NPI (National Provider Identifier) 1629134960. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Paul Robert Larson located?
The Paul Robert Larson is located at 100 Highline Dr, East Wenatchee, WA 988025341.
What is Paul Robert Larson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul Robert Larson's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629134960 to Paul Robert Larson?
The Centers for Medicare & Medicaid Services originally issued the 1629134960 to Paul Robert Larson on 2006-12-29.
As of what date were the details related to Paul Robert Larson most recently updated or revised?
The information pertaining to Paul Robert Larson, including its address, specialty, and other relevant details, was last updated or revised on 2022-06-29.
NPI Number: 1215930425
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