Anne Larson, RN

Individual provider Active NPI Registered Nurse · Forty Fort, PA

NPI 1922826262 · NPPES record last updated Sep 26, 2024

Key facts

NPI
1922826262
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN641249 (PA)
Practice address
190 Welles St
Forty Fort, PA 18704-4968
Phone
(570) 521-2522
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

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
RN641249PAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN641249 PA Yes

Addresses

Primary practice location

190 Welles St
Forty Fort, PA 18704-4968

Mailing address

21 Scott St
Swoyersville, PA 18704-2932
Phone (570) 709-3418

Other providers in Forty Fort, PA

All providers in Forty Fort, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.