Larson, Shannan Nicole

Larson, Shannan Nicole is an sole proprietor health care provider with primary practice located at 404 Jefferson St , Pella IA 50219. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Larson, Shannan Nicole can be contacted via phone (641) 628-6634.

Contact Information

Primary practice address
404 Jefferson St Pella IA 50219
Phone: (641) 628-6634
Fax: (641) 621-2458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 133501 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D133501 Iowa

Profile Details

NPI number 1750701009
LBN Legal business name Larson, Shannan Nicole
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2014
Last updated Oct 29th, 2024 - about 2 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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