Larson, Nicole Lynn

Larson, Nicole Lynn is an individual health care provider with primary practice located at 149 Thompson Ave E Ste 150 , West St Paul MN 55118-3238. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Larson, Nicole Lynn can be contacted via phone (651) 450-0860.

Contact Information

Primary practice address
149 Thompson Ave E Ste 150 West St Paul MN 55118-3238
Phone: (651) 450-0860
Fax: (651) 450-0759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 1574425 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1563 Minnesota

Profile Details

NPI number 1720048317
LBN Legal business name Larson, Nicole Lynn
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Oct 21st, 2022 - about 4 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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