Individual provider · Type 1 NPI

Taylor Brooke Larson, PA STUDENT

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1679457717 Active

Practice location

1462 Clifton Rd NE Ste 280
Atlanta, GA 30322-1063

Call (404) 727-7825 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679457717

Taylor Brooke Larson, PA STUDENT's National Provider Identifier is 1679457717, issued on Aug 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 1, 2025.