Diane B Larson, CNM is a
Advanced Practice Midwife based in Monticello, Minnesota. Diane B Larson is licensed to practice in Minnesota (license number R1403473) and her current practice location is
1001 Hart Blvd, Ste 100, Monticello, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 295-2921.
NPI number for Diane B Larson is 1306057617 and her current mailing address is 1700 Highway 25 N, Buffalo, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306057617.
Provider's Profile
| Full Name | Diane B Larson |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1001 Hart Blvd, Monticello, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306057617
- Provider Enumeration Date: 05/25/2007
- Last Update Date: 07/29/2016
Medical Identifiers
Medical identifiers for Diane B Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306057617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | R1403473 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane B Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diane B Larson, CNM
1700 Highway 25 N,
Buffalo, MN 55313-1930
Ph: (763) 682-1313 | Diane B Larson, CNM
1001 Hart Blvd, Ste 100,
Monticello, MN 55362-8670
Ph: (763) 295-2921 |
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