Individual provider · Type 1 NPI
Mary Kay Larson, APN
Nurse Practitioner · Warrenville, IL
Practice location
4405 Weaver Pkwy
Warrenville, IL 60555-3269
Fax (630) 352-5499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209006678 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124293691
Mary Kay Larson, APN's National Provider Identifier is 1124293691, issued on Apr 25, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Warrenville, IL. The record was last updated on Sep 29, 2026.