Nicole Larsen, RN is a
Registered Nurse - Case Management based in Red Lake, Minnesota. Nicole Larsen is licensed to practice in Minnesota (license number 2279664) and her current practice location is
24760 Hospital Dr, Red Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 679-0112.
NPI number for Nicole Larsen is 1639986334 and her current mailing address is Po Box 497, Red Lake, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639986334.
Provider's Profile
Full Name | Nicole Larsen |
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Gender | Female |
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Speciality | Registered Nurse - Case Management |
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Location | 24760 Hospital Dr, Red Lake, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639986334
- Provider Enumeration Date: 12/16/2024
- Last Update Date: 12/16/2024
Medical Identifiers
Medical identifiers for Nicole Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639986334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 2279664 (Minnesota) | Secondary |
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 2279664 (Minnesota) | Secondary |
163WC0400X | Registered Nurse - Case Management | 2279664 (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. Nicole Larsen 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 |
Nicole Larsen, RN Po Box 497, Red Lake, MN 56671-0497 Ph: (218) 679-0112 | Nicole Larsen, RN 24760 Hospital Dr, Red Lake, MN 56671 Ph: (218) 679-0112 |
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