Amy J Larson (NPI# 1639630478, PAC ID# 6709110455) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1639630478 |
PAC ID by PECOS | 6709110455 |
Professional Enrollment ID | I20190628001920 |
Full Name | Amy J Larson |
Organization Legal Name | TWIN PORTS DERMATOLOGY INC |
Address |
1414 Woodland Ave Duluth MN 55803-2624 |
Phone Number | 2183021000 |
Gender | F |
Graduation Year | 2019 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 0244542454 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1414 Woodland Ave, Duluth, MN 55803-2624 | 2183021000 | TWIN PORTS DERMATOLOGY INC |
Organization Legal Name | TWIN PORTS DERMATOLOGY INC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kaitlyn M Bhoopal | Nurse Practitioner | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
Jeffrey Neil Samuelson | Dermatology | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
Cynthia Y Eaton | Nurse Practitioner | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
Cameron West | Dermatology | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
Heather M Smith | Physician Assistant | Twin Ports Dermatology Inc | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Street Address |
1414 WOODLAND AVE |
City | DULUTH |
State | MN |
Zip | 55803-2624 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kaitlyn M Bhoopal | Nurse Practitioner | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
Jeffrey Neil Samuelson | Dermatology | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
Cynthia Y Eaton | Nurse Practitioner | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
Cameron West | Dermatology | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth M Lafrance | Physician Assistant | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Lindsay Marie Johnson | Nurse Practitioner | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Jennifer A Prom | Physician Assistant | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Suzanne Anderson | Nurse Practitioner | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Kelsea N Pearson | Physician Assistant | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Lori Gw Lindgren | Nurse Practitioner | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Carl P. Rasmussen | Family Medicine | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Anna C Greiner | Physician Assistant | St. Luke's Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Patricia L Earley | Nurse Practitioner | St. Luke's Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Amy M Oakes | Physical Therapy | Therapy Partners Inc | 66 E Saint Marie St, Duluth, MN 55803-2646 |
Find all physicians in zip 55803 |
City | DULUTH |
Zip Code | 55803 |
Specialty | NURSE PRACTITIONER |
City + Specialty | DULUTH + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.