IndividualActive
Mark Larsen, MSN-E, FNP-C, CEN
NPI 1689166266 · Family Nurse Practitioner · Afton, WY
Provider details
- NPI number
- 1689166266
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN-E, FNP-C, CEN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1758.1758 (WY)
Mailing address
585 W 7615 S
Willard, UT 84340-9525
Registry dates
- Enumerated
- 2018-05-31
- Last updated
- 2018-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.