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NPI Code Detail

MEDICARE: MRS. MEGAN LARSEN CRNP

MEDICARE: MRS. MEGAN LARSEN CRNP
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
1363L00000XNurse Practitioner5010208NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043231376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN LARSEN CRNP
Provider Business Mailing Address
First Line : 20 MEDICAL PARK DR
Second Line :
City : ASHEVILLE
State : NC
Zip : 28803-2493
Country : US
Telephone Number : 828-274-7502
Fax Number : 828-271-6599
Provider Business Practice Location Address
First Line : 195 PAGE MILL RD STE 103
Second Line :
City : PALO ALTO
State : CA
Zip : 94306-2073
Country : US
Telephone Number : 999-999-9999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 10/14/2025

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