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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215146881 | Suzanne Lee Larson | Social Worker | 1331 County Road D E, Saint Paul, MN 55109-5260 | 2007-05-21 |
1013343839 | Suzanne E Larson | Registered Nurse | 10031 Honeysuckle Ave N, Brooklyn Park, MN 55443-1597 | 2013-09-25 |
1427340132 | Suzanne Linda Larson | Pharmacist | 609 Omache Dr, Omak, WA 98841-9672 | 2011-05-12 |
1336307297 | Suzanne Larson | Emergency Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2008-05-28 |
1659557742 | Suzanne Elaine Larson | Marriage & Family Therapist | 111 Church St, Laconia, NH 03246-3432 | 2008-01-18 |
Street Address |
21278 SADDLE MOUNTIAN DR |
City | SANFORD,L |
State | CO |
Zip Code | 81151-8115 |
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 Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
1508466855 | Cassandra Elizabeth Saad | Nurse Practitioner | 4024 S Rifle Way, Aurora, CO 80013-3240 | 2020-10-27 |
1992304471 | Amanda Michelle Heibult | Nurse Practitioner | 22047 E Ridge Trail Dr, Aurora, CO 80016-2668 | 2020-10-26 |
1407455157 | Faith Emma Olson | Nurse Practitioner | 2550 Winding River Dr Unit C1, Broomfield, CO 80023-6545 | 2020-10-23 |
1932708872 | Carla E Paredes Diaz | Nurse Practitioner | 2215 South Dr, Pueblo, CO 81008-1755 | 2020-10-21 |
1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
1902405038 | Rosalind Daninger | Nurse Practitioner | 1390 S Potomac St Ste 128, Aurora, CO 80012-4529 | 2020-10-20 |
1548869860 | Colleen R Newvine | Nurse Practitioner | 2831 W 133rd Ave, Broomfield, CO 80020-5263 | 2020-10-19 |
1598364952 | Shannon Elena Mckenna | Nurse Practitioner | 3047 Lawrence St, Denver, CO 80205-2317 | 2020-10-17 |
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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.