Individual provider · Type 1 NPI

Adam Larsen

Student in an Organized Health Care Education/Training Program · Appleton, WI

NPI number 1073084034 Active

Practice location

3117 E Drake Ln
Appleton, WI 54913-8000

Call (920) 428-0582 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073084034

Adam Larsen's National Provider Identifier is 1073084034, issued on Dec 16, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Appleton, WI. The record was last updated on Dec 16, 2018.