Nicole M Larson in St Louis Park - Gerontology
Nicole M Larson - NPI 1730342072
Nicole M Larson is a Gerontology in St Louis Park, Minnesota. Nicole M Larson practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Nicole M Larson is 1730342072. The last update date is 2016-10-27.
Nicole M Larson's current location address is 3931 Louisiana Ave S, St Louis Park, Minnesota. You can contact this provider via phone number 9529933123. The mailing address for Nicole M Larson is 3931 Louisiana Ave S, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole M Larson |
|---|---|
| Address | 3931 Louisiana Ave S, St Louis Park, Minnesota |
| Phone Number | 9529933123 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | G.N.P. |
NPI Number Detail
| NPI Number | 1730342072 |
|---|---|
| Provider Enumeration Date | 2008-07-08 |
| Last Updated Date | 2016-10-27 |
Provider Mailing Address Detail
| Address | 3931 Louisiana Ave S |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554265000 |
| Phone Number | 9529933123 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | R 159786-8 |
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Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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What is the unique 10-digit identifier code assigned to Nicole M Larson by the Centers for Medicare & Medicaid Services?
The Nicole M Larson has been issued the NPI (National Provider Identifier) 1730342072 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Nicole M Larson?
The Nicole M Larson is situated at 3931 Louisiana Ave S, in the city of St Louis Park, state of MN, with the zip code 554265000.
What is Nicole M Larson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nicole M Larson is Gerontology, and the taxonomy classification code that categorizes this area of expertise is 363Lg0600X.
On what date was the 1730342072 assigned to Nicole M Larson?
The Nicole M Larson was issued its 1730342072 on 2008-07-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Nicole M Larson most recently updated or revised?
The details related to Nicole M Larson, including its address, specialty, and other relevant information, were last updated or revised on 2016-10-27.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC