Individual provider · Type 1 NPI

Nicole Lynn Larson, DNP, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · West St. Paul, MN

NPI number 1720048317 Active

Practice location

149 Thompson Ave E Ste 150
West St. Paul, MN 55118-3238

Fax (651) 450-0759

Mailing address

4240 Park Glen Rd
St. Louis Park, MN 55416-5427

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X1574425 (MN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1563 (MN)

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

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About NPI 1720048317

Nicole Lynn Larson, DNP, APRN, PMHNP-BC's National Provider Identifier is 1720048317, issued on Mar 27, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West St. Paul, MN. The record was last updated on Oct 21, 2022.