NPI 1003914359 · live from the CMS NPI Registry
Gladys Elizabeth Larson
Audiologist in Buffalo, WY. National Provider Identifier 1003914359, active.
NPI record
| NPI | 1003914359 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 497 West Lott, Buffalo, WY 82834 |
| Practice phone | 307-684-3139 |
| Enumerated | September 20, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
| Other names | Gladys Jacobson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | A910 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.