Individual provider · Type 1 NPI

Shannon Larson, CNP

Gerontology Nurse Practitioner · Willmar, MN

NPI number 1972853208 Active

Practice location

101 Willmar Ave SW
Willmar, MN 56201-3556

Fax (320) 231-5067

Other practice locations

  • 1100 E Broadway St, Redwood Falls, MN 56283-2247 · (507) 637-2985
  • 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 · (651) 232-7800

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XR1789773 (MN)
Gerontology Nurse Practitioner Primary 363LG0600XCNP3193 (MN)

Gerontology Nurse Practitioner: Definition to come...

157 other providers at this address

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About NPI 1972853208

Shannon Larson, CNP's National Provider Identifier is 1972853208, issued on Sep 13, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Willmar, MN. The record was last updated on Mar 27, 2023.