KIMBERLY S LARSON N.P. NPI 1982614723

NPI Information

NPI: 1982614723
Provider Name: KIMBERLY S LARSON, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
170 ARROWHEAD DR
EVANSTON, WY
ZIP 82930
Phone: (307) 789-0096
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Kimberly S Larson, N.P. is a family nurse practitioner in Evanston, WY. Kimberly S Larson, N.P. NPI is 1982614723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

170 ARROWHEAD DR
EVANSTON, WY
ZIP 82930-266
Phone: (307) 789-0096
Fax: (307) 789-0860

The enumeration date for this NPI number is 8/8/2006 and was last updated on 10/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	363542-4405	UTAH	No
2	363LF0000X	Nurse Practitioner	Family	18217.0308	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	120048800	MEDICAID	WYOMING
2	000012894	MEDICARE ID-TYPE UNSPECIFIED	UTAH
3	Q27062	MEDICARE UPIN
4	10455	MEDICARE ID-TYPE UNSPECIFIED	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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