Tory Leif Larsen, APRN, NP
Nurse Practitioner, Acute Care in Cambridge, MA. Individual provider (NPI-1).
NPI number1669920179
StatusActive
Last updated in NPPESJun 21, 2023
Details
- NPI
- 1669920179
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tory Leif Larsen
- Credential
- APRN, NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2016
- Certification date
- Jun 21, 2023
- Last updated
- Jun 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 2308024 | MA | Yes |
Practice location
872 Mass AveApt 503
Cambridge, MA 02139-3073
Phone 973-919-4816
Mailing address
872 Mass AveApt 503
Cambridge, MA 02139-3073
Phone 973-919-4816
Other practice locations
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