person
Maria Larsen, FNP
Family Nurse Practitioner in Stockton, California
NPI 1902992191

Maria Larsen is a Family Nurse Practitioner based in Tracy, CA and is specialized in Family. Maria Larsen practices in Stockton, CA and has the professional credentials of FNP. The NPI Number for Maria Larsen is 1902992191 and holds a License No. NPCERTIFICATE11614 (California).

The current practice location address for Maria Larsen is 1800 N California St, Stockton, CA and can be reached out via phone at 209-467-6365 and via fax at 209-467-6465. You can also correspond with Maria Larsen through the mailing address at 1495 VINTAGE COURT, TRACY, CA - 95376 (mailing address contact number: 209-832-1563).

Location: 1800 N California St, Stockton, CA, 95376
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Provider Profile Details
NPI Number
1902992191
Provider Name
Maria Larsen
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1800 N California St, Stockton, CA, 95376
Phone Number
209-467-6365
Fax Number
209-467-6465
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ30148Z 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1800 N California St
City
State
Zip
95204
Phone Number
209-467-6365
Fax Number
209-467-6465
person
Provider Business Mailing Address Details
Address
1800 N California St
City
State
Zip
95204
Phone Number
209-467-6365
Fax Number
209-467-6465
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NPCERTIFICATE11614 (California)
Definition
Definition to come...
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