Individual provider · Type 1 NPI
Kimberlie Larson, RN, BSN
Psychiatric/Mental Health Nurse Practitioner · Fargo, ND
NPI number
1679390652
Active
Practice location
2101 Elm St N
Fargo, ND 58102-2417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202733 (ND) |
| Case Management Registered Nurse | 163WC0400X | R38487 (ND) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12948 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679390652
Kimberlie Larson, RN, BSN's National Provider Identifier is 1679390652, issued on Sep 23, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fargo, ND. The record was last updated on Aug 13, 2026.