| Dr Matthew Larsen, DNP, CNM, WHNP-BC | |
|
18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | |
| (760) 946-8169 | |
| (760) 946-8875 |
| Full Name | Dr Matthew Larsen |
|---|---|
| Gender | Male |
| Speciality | Advanced Practice Midwife |
| Location | 18077 Outer Hwy 18 Ste 100, Apple Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932766458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 236034 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Larsen, DNP, CNM, WHNP-BC 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 Ph: (760) 946-8169 | Dr Matthew Larsen, DNP, CNM, WHNP-BC 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 Ph: (760) 946-8169 |
Ms. Kimberly Kay Tillotson, CNM/NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 Fax: 760-946-8875 | |
Stephanie Hansen, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18056 Wika Rd Ste B, Apple Valley, CA 92307 Phone: 760-813-3699 | |
Mrs. Maryam Modirrousta, CNM, NP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 706-242-2311 Fax: 760-946-8875 | |
Mrs. Kimberly Sue Deimling-meyer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 Fax: 760-946-8875 | |
Laurie Roberts, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 18077 Us Highway 18, Suite 100, Apple Valley, CA 92307 Phone: 760-946-8799 Fax: 760-946-8875 |