Individual provider · Type 1 NPI

Sara Larsen, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Ammon, ID

NPI number 1609551720 Active

Practice location

2705 E 17th St
Ammon, ID 83406-6601

Mailing address

1209 W 5000 N
Rexburg, ID 83440-3204

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XN-42254 (ID)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1609551720

Sara Larsen, PMHNP's National Provider Identifier is 1609551720, issued on Jun 16, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ammon, ID. The record was last updated on Aug 7, 2023.