NPI 1457745986 · live from the CMS NPI Registry
Amanda Larson, CPNP-PC
Nurse Practitioner, Pediatrics in Le Mars, IA. National Provider Identifier 1457745986, active.
NPI record
| NPI | 1457745986 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 420 12th St Se, Apt 16, Le Mars, IA 51031 |
| Practice phone | 712-541-1401 |
| Enumerated | March 23, 2015 |
| Last updated | June 25, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C107295 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.