Ms Kaylene Nichole Larson, APRN, CRNA | |
301 Becker Ave Sw, Willmar, MN 56201-3302 | |
(320) 235-4543 | |
Not Available |
Full Name | Ms Kaylene Nichole Larson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 301 Becker Ave Sw, Willmar, Minnesota |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003323304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2163 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tennova Healthcare-clarksville | Clarksville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Medical Group, P.c. | 6901702307 | 442 |
Entity Name | Anesthesia Medical Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
Mailing Address | Practice Location Address |
---|---|
Ms Kaylene Nichole Larson, APRN, CRNA 4161 18th Ave S Apt 117, Fargo, ND 58103-7416 Ph: (701) 212-2396 | Ms Kaylene Nichole Larson, APRN, CRNA 301 Becker Ave Sw, Willmar, MN 56201-3302 Ph: (320) 235-4543 |
James Malkuch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-235-4543 | |
Ms. Kimberly Diane Rupp-montpetit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4120 | |
Mr. Grayson Joel Swalin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4130 | |
Eric Julian Peterson, CRNA,MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4120 | |
Donald Glenn Fisher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Becker Ave Sw, Rice Hospital, Willmar, MN 56201 Phone: 320-231-4130 | |
Charles Haupert Ii, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5079 |