MR. Mark Wayne Larsen, MSN-E, FNP-C, CEN

NPI #1689166266 in Afton, Wyoming

Provider Information

NPI Number: 1689166266
Entity Type: Individual
Name: MR. Mark Wayne Larsen, MSN-E, FNP-C, CEN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse Practitioner - Family
Credential: MSN-E, FNP-C, CEN
Enumeration Date: May 31, 2018
Last Updated: May 31, 2018

Practice Location

Address: 901 ADAMS ST
City: Afton
State: Wyoming
ZIP Code: 83110-9621
Phone: (885) 885-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X	Primary

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