Jody Marie Larson, registered nurse
Registered Nurse, Home Health in Wisconsin Rapids, WI. Individual provider (NPI-1).
NPI number1982167284
StatusActive
Last updated in NPPESApr 12, 2019
Details
- NPI
- 1982167284
- Entity type
- Individual (NPI-1)
- Name
- Jody Marie Larson
- Credential
- registered nurse
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2019
- Last updated
- Apr 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 150029030 | WI | Yes |
Practice location
3741 Townline RdWisconsin Rapids, WI 54494-8137
Phone 715-325-2276
Mailing address
3741 Townline RdWisconsin Rapids, WI 54494-8137
Phone 715-325-2276
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