NPI 1083882930

Ivy Ann Larson, CFA

Practitioner Surgical Technologist Sheridan, WY

Practice location

Address: 1524 W 5th St, Sheridan, WY 82801-2707
Phone: (307) 751-1774
Fax: (307) 673-0655

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Wyoming →

Registry record

NPI: 1083882930
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2008
Record last updated: 13 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.