MEDICARE: ANDREW LARSEN BA, MLS, CHI, CMI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1194531517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW LARSEN BA, MLS, CHI, CMI

Provider Business Mailing Address
First Line	:	5110 WILLIAMS FORK TRL APT 110
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-3408
Country	:	US
Telephone Number	:	719-963-5775
Fax Number	:

Provider Business Practice Location Address
First Line	:	5110 WILLIAMS FORK TRL APT 110
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-3408
Country	:	US
Telephone Number	:	719-963-5775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	12/31/2025

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