MR. BRYAN DUANE LARSON (NPI# 1174177471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174177471 |
| Entity Type | Individual |
| Full Name | MR. BRYAN DUANE LARSON |
| Credential | ARNP |
| Practice Address |
210 Government Road Mattawa WA 99349-0906 |
| Mailing Address |
Po Box 1581 Mattawa WA 99349-0960 |
| Practice Telephone | 5099324499 |
| Practice Fax Number | 5099325363 |
| Mailing Telephone | 5099324119 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60980845 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356724272 | Bryan Kent Larson | Optometrist | 10 Taft St S, Humboldt, IA 50548-2037 | 2015-07-09 |
| 1225260037 | Bryan Steele Larson | Dentist | 22 S State St, Clearfield, UT 84015-1043 | 2009-08-12 |
| 1316048937 | Bryan Larson | Orthopaedic Surgery | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2006-09-26 |
| 1598864316 | Bryan S. Larson | Pharmacist | 30 S 2000 E, Salt Lake City, UT 84112-5820 | 2006-09-21 |
| Street Address |
210 GOVERNMENT ROAD |
| City | MATTAWA |
| State | WA |
| Zip Code | 99349-0906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699720797 | Grant County Public Hospital District 5 | Family Medicine | 210 Government Road, Mattawa, WA 99349-0960 | 2006-05-24 |
| 1396384871 | Grant County Public Hospital District 5 | Pharmacy | 210 Government Road, Mattawa, WA 99349 | 2019-12-31 |
| 1003391848 | Grant County Public Hospital District 5 | Pharmacy | 210 Government Road, Mattawa, WA 99349 | 2018-09-27 |
| 1124298336 | Cheryl Marie Mielbrecht | Physician Assistant | 210 Government Road, Mattawa, WA 99349-0960 | 2008-03-04 |
| 1497924088 | Cynthia A Johnson | Dietitian, Registered | 210 Government Road, Mattawa, WA 99349-0960 | 2008-02-27 |
| 1427003540 | Daniel E Sloane | Family Medicine | 210 Government Road, Mattawa, WA 99349 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396997086 | Elaine Marie Brewer | Massage Therapist | 210 Government Rd., Mattawa, WA 99349 | 2008-10-14 |
| 1629148440 | Arturo Rojas | Physician Assistant | 601 Government Way, Mattawa, WA 99349 | 2006-11-09 |
| 1740363498 | Wahluke School District | Local Education Agency (LEA) | 411 E Saddle Mountain Drive, Mattawa, WA 99349 | 2006-10-23 |
| 1700314895 | Geraldine Cabero | Physician Assistant | 601 Government Way, Mattawa, WA 99349 | 2017-06-01 |
| 1710232749 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2012-07-16 |
| 1053539890 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2007-04-24 |
| 1184842254 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2007-04-23 |
| 1033259064 | Columbia Basin Health Association | Pharmacist | 601 Government Way, Mattawa, WA 99349 | 2007-02-07 |
| 1609410075 | Grant County Public Hospital District 5 | Clinic/Center | 101 William Ave, Mattawa, WA 99349-0104 | 2019-10-29 |
| 1134337785 | Jennifer Beaty | Registered Nurse | 210 Government Rd, Mattawa, WA 99349-0960 | 2007-05-18 |
| Find all providers in zip 99349 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720139 | Youwen Hu | Nurse Practitioner | 10824 Se 170th St Unit A304, Renton, WA 98055-5950 | 2020-11-05 |
| 1831799048 | Sarah Louise Weerheim | Nurse Practitioner | 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 | 2020-10-27 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1437761988 | Hollye Hahn | Nurse Practitioner | 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 | 2020-08-17 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1134747066 | New Dawn Psychotherapy Pllc | Nurse Practitioner | 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 | 2020-07-07 |
| 1376160861 | Clarity Behavioral Health | Nurse Practitioner | 7704 193rd Pl Sw, Edmonds, WA 98026-6234 | 2020-06-30 |
| 1174140677 | Rachael Davison | Nurse Practitioner | 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.