IndividualActive
Tucker Larsen, PA-C
NPI 1245671379 · Physician Assistant · Plummer, ID
Provider details
- NPI number
- 1245671379
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Student, Health Care
Practice location
427 N 12th St.
Plummer, ID 83851
Phone: (208) 686-1931
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 388
Plummer, ID 83851-0388
Registry dates
- Enumerated
- 2013-07-17
- Last updated
- 2016-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.