| 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 |
Nathan Luttenegger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20795 Keokuk Ave, Lakeville, MN 55044 Phone: 952-428-1030 |
Tracy Mueller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18275 Kenrick Ave, Lakeville, MN 55044 Phone: 952-892-5454 |
Edith K Moronge, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8070 182nd St W, Lakeville, MN 55044 Phone: 660-238-1191 |
Ms. Denette Mamie Phillips Dunn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10527 165th St W, Lakeville, MN 55044 Phone: 952-955-4110 |
Ellen Lynch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16233 Kenyon Ave Ste 130, Lakeville, MN 55044 Phone: 612-584-1145 Fax: 612-584-1145 |
Kelly Krueger, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-993-8800 |