Larson, Athena

Larson, Athena is an individual health care provider with primary practice located at 155 Hospital Dr Suite 410, Lafayette LA 70503-2852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Larson, Athena can be contacted via phone (337) 289-9700.

Contact Information

Primary practice address
155 Hospital Dr Suite 410 Lafayette LA 70503-2852
Phone: (337) 289-9700
Fax: (337) 289-9702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP04546 Louisiana

Profile Details

NPI number 1225204282
LBN Legal business name Larson, Athena
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Jul 30th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225204282 NPPES
Louisiana Other AP05456 LICENSE

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