SUZANNE PACE LARSON


Address: 21278 Saddle Mountian Dr, Sanford,l, CO 81151-8115
Phone: 8062827094

SUZANNE PACE LARSON (NPI# 1396363412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396363412
Entity Type Individual
Full Name SUZANNE PACE LARSON
Credential FNP-C
Practice Address 21278 Saddle Mountian Dr
Sanford,l
CO 81151-8115
Mailing Address Po Box 44
Sanford
CO 81151-0044
Practice Telephone 8062827094
Mailing Telephone 7195805757
Enumeration Date 2020-07-07
Last Update Date 2020-07-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN.0995591-NP CO Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 21278 SADDLE MOUNTIAN DR
City SANFORD,L
State CO
Zip Code 81151-8115

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659704096 Michael Romero Physical Therapy Assistant 170 Hickory, Sanford, CO 81151 2013-08-20
1154406130 Sanford Public Schools Local Education Agency (LEA) 755 2nd St, Sanford, CO 81151 2006-10-26

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1548869860 Colleen R Newvine Nurse Practitioner 2831 W 133rd Ave, Broomfield, CO 80020-5263 2020-10-19
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Competitor

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City SANFORD,L
Zip Code 81151

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Dataset Information

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.

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