Victoria Larsen, APRN
Nurse Practitioner, Family in Chicago, IL. Individual provider (NPI-1).
NPI number1801299359
StatusActive
Last updated in NPPESMay 2, 2018
Details
- NPI
- 1801299359
- Entity type
- Individual (NPI-1)
- Name
- Victoria Larsen
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2014
- Last updated
- May 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209017415 | IL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 7518943-4405 | UT | |
| 363LF0000X | Nurse Practitioner, Family | APRN001884 | NV |
Practice location
675 N Saint Clair St Fl 18Chicago, IL 60611-5975
Phone 312-695-8624
Mailing address
1971 Saddle Farm LnNaperville, IL 60564-4501
Phone 435-619-1020
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