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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY ALLEN LARSON, FNP-BC

Active

Family Nurse Practitioner · SAN LUIS, AZ

Registration Details

NPI Number
1578536892
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2006 (20.208379328152 yrs)
Last Updated
Apr 1, 2019
Licenses
2973 (MN)
AP2705 (AZ)

Practice Information

Address
1233 N MAIN ST
STE 1A
SAN LUIS, AZ, 85349
Browse AZ providers · Browse ZIP 85349
Phone
9285505514
Fax
9287226113
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SAN LUIS, AZ

Name Credential NPI
MR. RODOLFO VALENZUELA IV NP 1740367374
MR. STEVEN LEE COVINGTON FNP 1851413231
WILLIAM RUSSELL MCNAIR FNP 1780913236
MRS. LEAH K MCNAIR NP 1104128255
MRS. CLARISSE VANESSA NGUEHA-NANA 1356894240
HECTOR ISRAEL DE LA TORRE FNP-BC 1205370293
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.