MR. MARK WAYNE LARSEN (NPI# 1689166266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689166266 |
| Entity Type | Individual |
| Full Name | MR. MARK WAYNE LARSEN |
| Credential | MSN-E, FNP-C, CEN |
| Practice Address |
901 Adams St Afton WY 83110-9621 |
| Mailing Address |
585 W 7615 S Willard UT 84340-9525 |
| Practice Telephone | 8858855800 |
| Mailing Telephone | 4359797546 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1758.1758 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417110016 | Mark Larsen | Dentist | 3773 W Ina Rd Ste 180, Tucson, AZ 85741-2292 | 2008-07-03 |
| 1043335078 | Mark William Larsen | Chiropractor | 7 N Wabash St, Peru, IN 46970-2224 | 2007-03-20 |
| 1396824934 | Mark Timothy Larsen | Counselor | 2003 East Main St., Lebanon, VA 24266 | 2006-11-03 |
| 1992894141 | Mark J Larsen | Radiology | 65 Loma Vista Dr, Orinda, CA 94563-2236 | 2006-10-12 |
| 1467051862 | Mark Todd Larsen Jr. | Occupational Therapist | 1000 Easton Rd Ste 207, Wyncote, PA 19095-2900 | 2020-10-19 |
| 1194363754 | Mark James Larsen | Acupuncturist | 3330 Eagle St, Anchorage, AK 99503-4146 | 2019-12-13 |
| 1447223078 | Mark Steven Larsen | Nurse Anesthetist, Certified Registered | 326 Washington St, Norwich, CT 06360-2740 | 2006-02-13 |
| Street Address |
901 ADAMS ST |
| City | AFTON |
| State | WY |
| Zip Code | 83110-9621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255376406 | North Lincoln County Hospital District | General Acute Care Hospital | 901 Adams St, Afton, WY 83110-9621 | 2006-06-19 |
| 1013572874 | Kelli Hansen | Specialist/Technologist | 901 Adams St, Afton, WY 83110-9621 | 2019-05-07 |
| 1033692108 | Troy Bailey | Dietitian, Registered | 901 Adams St, Afton, WY 83110-9621 | 2018-09-13 |
| 1609302009 | Allen Boyd Simpson | Occupational Therapist | 901 Adams St, Afton, WY 83110-9621 | 2017-05-04 |
| 1316490469 | Madeline Mcclelland | Speech-Language Pathologist | 901 Adams St, Afton, WY 83110-9621 | 2016-07-25 |
| 1760841696 | Brady Esplin | Physician Assistant | 901 Adams St, Afton, WY 83110-9621 | 2016-02-20 |
| 1619355864 | University of Utah Adult Services | Internal Medicine | 901 Adams St, Afton, WY 83110-9621 | 2015-05-08 |
| 1083091623 | University of Utah Adult Services | Internal Medicine | 901 Adams St, Afton, WY 83110-9621 | 2015-05-04 |
| 1013307768 | Korry Wheeler | Physical Therapist | 901 Adams St, Afton, WY 83110-9621 | 2015-02-03 |
| 1336572213 | Scott Dean Berglund | Rehabilitation Unit | 901 Adams St, Afton, WY 83110-9621 | 2013-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269569 | Allred Performance and Rehabilitation LLC | Physical Therapist | 533 Allred Rd, Afton, WY 83110 | 2020-09-15 |
| 1427691211 | Rhet Mitchell Long | Pharmacist | 307 S Washington, Afton, WY 83110 | 2019-10-24 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1649737560 | Our Valley Pharmacy | Pharmacy | 307 South Washington, Afton, WY 83110 | 2019-02-27 |
| 1073090585 | Star Valley Healthcare, Inc. | Home Health | 625 S Washington St, Ste B, Afton, WY 83110 | 2018-07-26 |
| 1669962247 | Easy Access LLC. | Durable Medical Equipment & Medical Supplies | 152 Hillview Dr., Afton, WY 83110 | 2018-05-18 |
| 1457890659 | Beyond Home Living, LLC | Assisted Living Facility | 153 Doyle Child Circle, Afton, WY 83110 | 2017-02-21 |
| 1396294914 | Jamie Armstrong | Speech-Language Pathologist | 675 Washington, Afton, WY 83110 | 2016-09-23 |
| 1295184398 | Northwest Home Health LLC | Home Health | 422 South Washington, Ste F, Afton, WY 83110 | 2016-06-09 |
| 1811363955 | Ashley Hall | Registered Nurse | 125 South Washington, Afton, WY 83110 | 2015-08-12 |
| Find all providers in zip 83110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720501430 | Shea Price Pitts | Nurse Practitioner | 343 Pine Ridge Drive, Afton, TN 37616 | 2017-07-25 |
| 1437374832 | Melinda K Bailey | Nurse Practitioner | 138 S. Main Street, Afton, OK 74331-0705 | 2007-04-13 |
| 1073570875 | Gina Marie Francisco | Nurse Practitioner | 138 S Main, Afton, OK 74331-1822 | 2006-04-27 |
| 1124649413 | Anne T Roane | Nurse Practitioner | 10950 Rockfish Valley Hwy, Afton, VA 22920-2858 | 2020-04-28 |
| 1093252439 | Russell Allen Peters | Nurse Practitioner | 138 S. Main St, Afton, OK 74331 | 2017-01-24 |
| 1215198064 | Carol D. Nightengale | Nurse Practitioner | 29 Academy Street, Afton School, Afton, NY 13730 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012383 | Susan M. Miner | Nurse Practitioner | 487 N. Main St. #2, Thayne, WY 83127 | 2020-10-27 |
| 1922606177 | Crysta Jean Sullivan | Nurse Practitioner | 2401 Greenway Dr, Gillette, WY 82716-2333 | 2020-10-10 |
| 1245844463 | Lara Vanden Hoek | Nurse Practitioner | 3339 Hales Ranch Rd, Cheyenne, WY 82007-1825 | 2020-09-04 |
| 1417560020 | Camlyn Dunn | Nurse Practitioner | 17985 Us Highway 14, Moorcroft, WY 82721-8814 | 2020-08-25 |
| 1649897406 | Anne Barnes | Nurse Practitioner | 4003 Rawlins St Ste A, Cheyenne, WY 82001-1800 | 2020-06-28 |
| 1548882343 | Evolving Ehealth LLC | Nurse Practitioner | 1309 Coffeen Ave Ste 1200, Sheridan, WY 82801-5777 | 2020-05-14 |
| 1316578826 | Karen Ann Alexander | Nurse Practitioner | 921 S Ballancee Ave, Lusk, WY 82225 | 2020-02-03 |
| 1801436274 | Susan Ranea Roberson | Nurse Practitioner | 69 Valley Dr, Casper, WY 82604-4011 | 2020-01-13 |
| 1497390017 | William Carey Lake | Nurse Practitioner | 1025 Jade Drivee, Hanna, WY 82327-8232 | 2019-11-07 |
| 1184266058 | Kelsie Anderson | Nurse Practitioner | 1423 W 31st St, Cheyenne, WY 82001-2458 | 2019-10-11 |
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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.