Linda Carol Larson, PHN

Individual provider Active NPI Registered Nurse · Litchfield, MN

NPI 1487982005 · NPPES record last updated Nov 19, 2009

Key facts

NPI
1487982005
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R081217-5 (MN)
Practice address
114 N Holcombe Ave
Suite 250
Litchfield, MN 55355-2210
Phone
(320) 693-5370
Fax
(320) 693-5399
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
R081217-5MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Meeker Past
since Mar 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R081217-5 MN Yes

Addresses

Primary practice location

114 N Holcombe Ave
Suite 250
Litchfield, MN 55355-2210

Mailing address

114 N Holcombe Ave
Suite 250
Litchfield, MN 55355-2210
Phone (320) 693-5370

Other providers in Litchfield, MN

All providers in Litchfield, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.