NICOLE M LARSON (NPI# 1730342072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730342072 |
Entity Type | Individual |
Full Name | NICOLE M LARSON |
Other Name | NICOLE M RESSLER |
Credential | G.N.P. |
Practice Address |
3931 Louisiana Ave S St Louis Park MN 55426-5000 |
Practice Telephone | 9529933123 |
Mailing Telephone | 9529933123 |
Enumeration Date | 2008-07-08 |
Last Update Date | 2016-10-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R 159786-8 | MN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639321763 | Nicole Larson | Occupational Therapist | 1316 W Braxton Dr, Sioux Falls, SD 57108-3318 | 2008-10-21 |
1720048317 | Nicole Lynn Larson | Nurse Practitioner | 4300 W 147th St, Suite 204, Apple Valley, MN 55124-7850 | 2006-03-27 |
1154929198 | Nicole Elizabeth Larson | Massage Therapist | 2430 Oka St Ste B, Kilauea, HI 96754-5332 | 2020-10-12 |
1215550868 | Nicole Larson | Pharmacist | 21455 John Milless Dr, Rogers, MN 55374-9431 | 2020-05-18 |
1821566530 | Nicole Larson | Physical Therapist | 2492 Nissen Dr, Livermore, CA 94551-7704 | 2018-11-12 |
1275000564 | Nicole Elizabeth Larson | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2018-10-25 |
1376021675 | Nicole Larson | Physical Therapist | 1025 E Broadway Rd, Tempe, AZ 85282-1599 | 2018-07-30 |
1124469382 | Nicole Larson | Case Manager/Care Coordinator | 218 Dogwood Hollow Rd, Mountain View, AR 72560-7942 | 2013-07-16 |
1568715803 | Nicole Elizabeth Larson | Social Worker | 101 5th St E, Suite 208, Northfield, MN 55057-2067 | 2012-10-24 |
1952422586 | Nicole Marie Larson | Physician Assistant | 5841 S Maryland Ave, Mc 5035, Chicago, IL 60637-1447 | 2007-04-02 |
Street Address |
3931 LOUISIANA AVE S |
City | ST LOUIS PARK |
State | MN |
Zip Code | 55426-5000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265422927 | Anthony G Bottini | Neurological Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2005-10-25 |
1437797917 | Allison Marie White | Dietitian, Registered | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-12-16 |
1083257612 | Kaylie Marie Laplante | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-10-27 |
1952960841 | Melissa Ann Moran | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-06-13 |
1205394004 | Maria Kelley Kearney | Occupational Therapist | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-03-11 |
1043790553 | Jack William Bergman | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2018-08-15 |
1164922910 | Lisa Mary Huset | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2018-02-19 |
1184147514 | Avri Ann Bock | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-07-18 |
1871013037 | Lorraine Marie Richards | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-06-20 |
1336672930 | Naoko Onizuka | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
Find all providers in zip 55426 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487659587 | Debra Ann Rustad | Nurse Practitioner | 3850 Park Nicollet Blvd, Park Nicollet Clinic--senior Services-- 3rd Floor, St Louis Park, MN 55416-2527 | 2005-06-15 |
1942664024 | Emily Samborn | Nurse Practitioner | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2016-04-05 |
1962818021 | Sara Gauquie | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2014-07-09 |
1801176078 | Marijane Schroeder Hauer | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2011-08-19 |
1568777274 | Elizabeth Abell | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426 | 2010-08-18 |
1932275880 | Jody Lynn Juntunen | Nurse Practitioner | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2006-11-24 |
1285611772 | Christa G Beach | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-27 |
1952388779 | Sherry Wenisch | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-22 |
1346226099 | Pamela J Garrison | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-15 |
1699750141 | Diane P Dunn | Nurse Practitioner | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-07 |
Find all providers in ST LOUIS PARK |
City | ST LOUIS PARK |
Zip Code | 55426 |
Please comment or provide details below to improve the information on NICOLE M LARSON.
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.