Individual provider · Type 1 NPI
Nicole Larsen, RN
Case Management Registered Nurse · Red Lake, MN
NPI number
1639986334
Active
Practice location
24760 Hospital Dr
Red Lake, MN 56671
Fax (218) 679-0187
Mailing address
PO Box 497
Red Lake, MN 56671-0497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 2279664 (MN) |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 2279664 (MN) |
| Case Management Registered Nurse Primary | 163WC0400X | 2279664 (MN) |
Case Management Registered Nurse: Definition to come...
7 other providers at this address
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- Rachel Koch, NURSE PRACTITIONERNurse Practitioner Red Lake, MN NPI 1245279835
- Sherry Daker, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Red Lake, MN NPI 1922519263
- Tiffany Hommes, FNPFamily Nurse Practitioner Red Lake, MN NPI 1942216668
- Tricia Lynn Cowan, DNP, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Red Lake, MN NPI 1346982238
About NPI 1639986334
Nicole Larsen, RN's National Provider Identifier is 1639986334, issued on Dec 16, 2024. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Red Lake, MN. The record was last updated on Dec 16, 2024.