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
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R1789773 (MN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | CNP3193 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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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.