Individual provider · Type 1 NPI
Paula Lynn Larson, CRNP
Primary Care Nurse Practitioner · Philadelphia, PA
NPI number
1831107663
Active
Practice location
6120-B Woodland Ave, 2nd Floor
Philadelphia, PA 19142
Mailing address
4700 Wissahickon Avenue, Suite 118
Philadelphia, PA 19144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TP004902B (PA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | TP004902B (PA) |
| Nurse Practitioner | 363L00000X | RN349585L (PA) |
| Nurse Practitioner | 363L00000X | TP004902B (PA) |
| Community Health Nurse Practitioner | 363LC1500X | TP004902B (PA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1831107663
Paula Lynn Larson, CRNP's National Provider Identifier is 1831107663, issued on Aug 4, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 29, 2021.