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Paul Robert Larson, NP
Family Nurse Practitioner in East Wenatchee, Washington
NPI 1629134960

Paul Robert Larson is a Family Nurse Practitioner based in Wenatchee, WA and is specialized in Family. Paul Robert Larson practices in East Wenatchee, WA and has the professional credentials of NP. The NPI Number for Paul Robert Larson is 1629134960 and holds a License No. R1340646 (Washington).

The current practice location address for Paul Robert Larson is 100 Highline Dr, East Wenatchee, WA and can be reached out via phone at 509-884-0641.

Location: 100 Highline Dr, East Wenatchee, WA, 98801-2028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629134960
Provider Name
Paul Robert Larson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
100 Highline Dr, East Wenatchee, WA, 98801-2028
Phone Number
509-884-0641
Fax Number
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629134960 05 WA
316364 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
100 Highline Dr
City
East Wenatchee
State
Washington
Zip
98802-5341
Phone Number
509-884-0641
Fax Number
person
Provider Business Mailing Address Details
Address
100 Highline Dr
City
East Wenatchee
State
Washington
Zip
98802-5341
Phone Number
509-884-0641
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R1340646 (Minnesota)
Definition
Definition to come...
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