Matthew Craig Larson, | |
1650 Cochrane Circle, 1cu Usa Meddac Evans Army Community Hospital, Fort Carson, CO 80913-4604 | |
(719) 526-7020 | |
(719) 526-7635 |
Full Name | Matthew Craig Larson |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 1650 Cochrane Circle, Fort Carson, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922147610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 44156 (Colorado) | Primary |
164W00000X | Licensed Practical Nurse | 20219 (Nebraska) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Matthew Craig Larson, 1650 Cochrane Circle, Department Of The Army Usa Meddac Evans Army Community, Fort Carson, CO 80913-4606 Ph: (719) 526-7649 | Matthew Craig Larson, 1650 Cochrane Circle, 1cu Usa Meddac Evans Army Community Hospital, Fort Carson, CO 80913-4604 Ph: (719) 526-7020 |
Mr. Floyd Dale Edwards, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cirrcle, Usa Meddac / Evans Army Community Hospital, Fort Carson, CO 80913 Phone: 719-526-7649 Fax: 719-526-7019 | |
Mary Ann Johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3524 Airfield Rd, Fort Carson, CO 80913 Phone: 719-524-6627 Fax: 719-524-6621 | |
Suzanne Marie Seballoz, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, Evans Army Community Hospital, 1650 Cochrean Circle, Attn: Credentials Office, Fort Carson, CO 80913 Phone: 719-526-7844 Fax: 719-526-7984 | |
Nichole I. Thornton, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1856 Irwin Dr Bldg 1058, Fort Carson, CO 80913 Phone: 719-524-5268 Fax: 719-526-2709 | |
Sandra Green, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Bldg 2361, Fort Carson, CO 80913 Phone: 719-524-3715 | |
Theodore Jimenez, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-7422 | |
Mrs. Shona Harris, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-2287 |