Female

Ms. Jerrie A. Larsen BS RN CRA CWS

Full Name

Ms. Jerrie A Larsen BS RN CRA CWS

NPI Number

1548355068

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/03/2006

Specialties

(Taxonomies)

Code

364SA2100X
364S00000X

Primary Taxonomy

No
No

Licenses

State

Washington

License Number

RN00046956

Contact
Information

Purpose

Mailing
Location

Address

2012 NE 52ND ST
2012 NE 52ND ST

City

Seattle
Seattle

State

WA
WA

Postal Code

98105-3344
98105-3344

Country

US
US

Telephone Number

(206) 523-9948
(206) 523-9948

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address