Siri Zirkle Larsen, CRNP
Nurse Practitioner, Family in Philadelphia, PA. Individual provider (NPI-1).
NPI number1902392012
StatusActive
Last updated in NPPESJul 2, 2018
Details
- NPI
- 1902392012
- Entity type
- Individual (NPI-1)
- Name
- Siri Zirkle Larsen
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2018
- Last updated
- Jul 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP018404 | PA | Yes |
Practice location
925 Chestnut StPhiladelphia, PA 19107-4216
Phone 215-955-8199
Mailing address
7318 Bingham StPhiladelphia, PA 19111-3614
Phone 215-380-4118
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