Whalio Doctors

NPI 1750701009

Shannan Nicole Larson, CRNA

Practitioner Certified Registered Nurse Anesthetist Pella, IA

Practice location

Address
404 Jefferson St, Pella, IA 50219
Phone
(641) 628-6634
Fax
(641) 621-2458
Mailing address
PO Box 843032, Kansas City, MO 64184-3032

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence D133501 (IA)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 133501 (IA)

Registry record

NPI
1750701009
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Apr 2014
Record last updated
29 Oct 2024

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.