person
Heidi C Larson, PA
Medical Physician Assistant in Scottsbluff, Nebraska
NPI 1528049467

Heidi C Larson is a Medical Physician Assistant based in Scottsbluff, NE and is specialized in Medical. Heidi C Larson practices in Scottsbluff, NE and has the professional credentials of PA. The NPI Number for Heidi C Larson is 1528049467 and holds a License No. 782 (Nebraska).

The current practice location address for Heidi C Larson is 2 W 42Nd St, Scottsbluff, NE and can be reached out via phone at 308-630-1811.

Location: 2 W 42Nd St, Scottsbluff, NE, 69361-0617
person
Provider Profile Details
NPI Number
1528049467
Provider Name
Heidi C Larson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2 W 42Nd St, Scottsbluff, NE, 69361-0617
Phone Number
308-630-1811
Fax Number
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
098637077 01 NE MEDICARE
36331415914 05 NE
institution
Provider Business Practice Location Address Details
Address
2 W 42Nd St
City
State
Zip
69361-0617
Phone Number
308-630-1811
Fax Number
person
Provider Business Mailing Address Details
Address
2 W 42Nd St
City
State
Zip
69361-0617
Phone Number
308-630-1811
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
782 (Nebraska)
Definition
Definition to come...
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