Individual provider · Type 1 NPI
Theresa A. Larson
Psychiatric/Mental Health Nurse Practitioner · Deerfield, IL
NPI number
1942040472
Active
Practice location
440 Lake Cook Rd Ste 2
Deerfield, IL 60015-5263
Fax (847) 236-9411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.029761 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1942040472
Theresa A. Larson's National Provider Identifier is 1942040472, issued on May 31, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Deerfield, IL. The record was last updated on May 31, 2024.