Individual provider · Type 1 NPI

Theresa M. Larson, FNP-BC

Family Nurse Practitioner · Mokena, IL

NPI number 1942593496 Active

Practice location

11200 W Lincoln Hwy
Mokena, IL 60448-8208

Mailing address

11200 Lincoln Highway
Mokena, IL 60448

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209000555 (IL)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1942593496

Theresa M. Larson, FNP-BC's National Provider Identifier is 1942593496, issued on May 17, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mokena, IL. The record was last updated on May 17, 2011.