Vivian Larson, RN

Individual provider Active NPI Registered Nurse · Kennewick, WA

NPI 1194597252 · NPPES record last updated Oct 23, 2023

Key facts

NPI
1194597252
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN60612111 (WA)
Practice address
8819 W Victoria Ave Ste 110
Kennewick, WA 99336-7193
Phone
(509) 783-1851
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60612111WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Home Health, LLC Current
since Aug 11, 2024
Accepting new patients

Locations

8819 W Victoria Ave
Ste 110
Kennewick, WA 99336
Phone (509) 783-1851

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60612111 WA Yes

Addresses

Primary practice location

8819 W Victoria Ave Ste 110
Kennewick, WA 99336-7193

Mailing address

8819 W Victoria Ave Ste 110
Kennewick, WA 99336-7193
Phone (509) 783-1851

Other providers in Kennewick, WA

All providers in Kennewick, WA · Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.