KIMBERLY S LARSON N.P. NPI 1982614723

NPI Information

  • NPI: 1982614723
  • Provider Name: KIMBERLY S LARSON, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 170 ARROWHEAD DR
    EVANSTON, WY
    ZIP 82930
  • Phone: (307) 789-0096

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NPI Details

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
1363LF0000XNurse PractitionerFamily363542-4405UTAHNo
2363LF0000XNurse PractitionerFamily18217.0308WYOMINGYes

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 Other Provider Identifier Issuer
1120048800MEDICAIDWYOMING
2000012894MEDICARE ID-TYPE UNSPECIFIEDUTAH
3Q27062MEDICARE UPIN
410455MEDICARE ID-TYPE UNSPECIFIEDWYOMING

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: 11/21/2025

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