| Melissa Dee Larsen | |
|
5005 Douglas Ave Suite 101 Des Moines IA 50310-2760 | |
| (515) 724-8920 | |
| (888) 771-3225 |
| Full Name | Melissa Dee Larsen |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5005 Douglas Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Melissa Dee Larsen (ARNP) |
| Authorized Official Contact | 5152504194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Dee Larsen 2423 E 9th St Des Moines IA 50316-1721 Ph: (515) 250-4194 | Melissa Dee Larsen 5005 Douglas Ave Suite 101 Des Moines IA 50310-2760 Ph: (515) 724-8920 |
| NPI Number | 1619379724 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619379724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | G087693 (Iowa) | Primary |
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