| Katie Jo Larsen, FNP | |
|
Northfield Hospital & Clinics - Urgent Care Lakeville, 9974 214th St W, Lakeville, MN 55054 | |
| (952) 469-0500 | |
| (950) 469-0505 |
| Full Name | Katie Jo Larsen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Northfield Hospital & Clinics - Urgent Care Lakeville, Lakeville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942751797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95005064 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R1623486 (Minnesota) | Primary |
| Entity Name | Usc Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Jo Larsen, FNP Northfield Hospital, 2000 North Ave, Northfield, MN 55057 Ph: (507) 646-1000 | Katie Jo Larsen, FNP Northfield Hospital & Clinics - Urgent Care Lakeville, 9974 214th St W, Lakeville, MN 55054 Ph: (952) 469-0500 |
Titi Taiwo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5370 172nd Street West, Lakeville, MN 55024 Phone: 612-386-2372 | |
Tracy Mueller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18275 Kenrick Ave, Lakeville, MN 55044 Phone: 952-892-5454 | |
Kelly Krueger, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-993-8800 | |
Katherine Mary Neu, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18275 Kenrick Ave, Lakeville, MN 55044 Phone: 952-832-5400 | |
Carla Renea Boudoir, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18342 Kerrville Trl, Lakeville, MN 55044 Phone: 612-275-2739 | |
Emily Ann Dallmann, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17713 Kenwood Trl, Lakeville, MN 55044 Phone: 952-595-6061 | |
Sarah Mary Boman, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-992-6700 |