IndividualActive
Nicole Larsen, RN
NPI 1639986334 · Case Management Registered Nurse · Red Lake, MN
Provider details
- NPI number
- 1639986334
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 2279664 (MN)
Practice location
24760 Hospital Dr
Red Lake, MN 56671
Phone: (218) 679-0112
Fax: (218) 679-0187
Mailing address
Po Box 497
Red Lake, MN 56671-0497
Registry dates
- Enumerated
- 2024-12-16
- Last updated
- 2024-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.