Individual provider · Type 1 NPI
Amanda Larson, CPNP-PC
Pediatric Nurse Practitioner · Le Mars, IA
NPI number
1457745986
Active
Practice location
420 12th St SE, Apt 16
Le Mars, IA 51031-2800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | C107295 (IA) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1457745986
Amanda Larson, CPNP-PC's National Provider Identifier is 1457745986, issued on Mar 23, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Le Mars, IA. The record was last updated on Jun 25, 2015.