Larson, Rebecca Ann
Larson, Rebecca Ann is an individual health care provider with primary practice located at 440 Woodward Ave , Iron Mountain MI 49801-4631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larson, Rebecca Ann can be contacted via phone (906) 776-9040.Contact Information
Primary practice address
440 Woodward Ave
Iron Mountain MI 49801-4631
Phone: (906) 776-9040
Fax: (906) 774-7279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704208185 | Michigan |
Profile Details
| NPI number | 1720195167 |
|---|---|
| LBN Legal business name | Larson, Rebecca Ann |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Oct 10th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720195167 | NPPES |
| Michigan | MEDICAID | 4446672 |
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