MR. MARK WAYNE LARSEN MSN-E FNP-C CEN NPI 1689166266

NPI Information

NPI: 1689166266
Provider Name: MR. MARK WAYNE LARSEN, MSN-E, FNP-C, CEN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
901 ADAMS ST
AFTON, WY
ZIP 83110
Phone: (885) 885-5800
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MR. Mark Wayne Larsen, MSN-E, FNP-C, CEN is a family nurse practitioner in Afton, WY. MR. Mark Wayne Larsen, MSN-E, FNP-C, CEN NPI is 1689166266. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 ADAMS ST
AFTON, WY
ZIP 83110-621
Phone: (885) 885-5800

The NPI 1689166266 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2018 and was last updated on 5/31/2018.

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	1758.1758	WYOMING	Yes

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: 5/5/2024

NPI Synchronization or Removal

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