SHANNAN NICOLE LARSON

PELLA, IA
NPI1750701009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IA  D133501)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IA  133501)
Enumeration Date2014-04-24
Last Update Date2024-10-29
Business Address
SHANNAN NICOLE LARSON CRNA
404 JEFFERSON ST
PELLA, IA 50219
Phone number: 641-628-6634
Mailing Address
SHANNAN NICOLE LARSON CRNA
PO BOX 843032
KANSAS CITY, MO 64184-3032
Phone number: 913-642-4900