| Nathan Stephen Larsen, RN | |
|
100 N Academy Ave, Danville, PA 17822-7848 | |
| (570) 271-6763 | |
| Not Available |
| Full Name | Nathan Stephen Larsen |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 100 N Academy Ave, Danville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821877150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN728840 (Pennsylvania) | Primary |
| Entity Name | Riverside Associates In Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740276203 PECOS PAC ID: 5193792844 Enrollment ID: O20040913001207 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Stephen Larsen, RN 570 Main St, Benton, PA 17814-7848 Ph: (570) 316-9049 | Nathan Stephen Larsen, RN 100 N Academy Ave, Danville, PA 17822-7848 Ph: (570) 271-6763 |
Roslyn Marie Feaster, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Nissa Ann Freeze, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 507 E Market St, Danville, PA 17821 Phone: 157-027-5496 | |
Michael Seldomridge, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Ms. Julie L. Kleinbauer, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6396 Fax: 570-271-5840 | |
Ms. Joanne Rogers, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Timothy Francis Schwartzer, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Ms. Mary Lynn M. Moore, CRNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 Fax: 570-271-6955 |