Individual provider · Type 1 NPI

Richard Sigurd Larson Iii, DNP

Pediatric Nurse Practitioner · Charleston, SC

NPI number 1265074660 Active

Practice location

2067 Charlie Hall Blvd
Charleston, SC 29414-5834

Call (843) 573-2535 Map

Mailing address

850 Bluff Ridge Ln
Belleville, IL 62221-3562

Other practice locations

  • 310 W Losey St, Scott Air Force Base, IL 62225-5250 · (618) 256-7357

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X23287 (SC)

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1265074660

Richard Sigurd Larson Iii, DNP's National Provider Identifier is 1265074660, issued on Oct 17, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charleston, SC. The record was last updated on Apr 27, 2022.