Willie Larson, CNM is a
Advanced Practice Midwife based in Valley Village, California. Willie Larson is licensed to practice in California (license number 236523) and her current practice location is
5901 Rhodes Ave, Valley Village, California. She can be reached at her office (for appointments etc.) via phone at
(310) 869-0906.
NPI number for Willie Larson is 1053062943 and her current mailing address is 5901 Rhodes Ave, Valley Village, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053062943.
Provider's Profile
Full Name | Willie Larson |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 5901 Rhodes Ave, Valley Village, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053062943
- Provider Enumeration Date: 01/12/2022
- Last Update Date: 03/11/2025
Medical Identifiers
Medical identifiers for Willie Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053062943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 95229614 (California) | Secondary |
367A00000X | Advanced Practice Midwife | 236523 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Willie Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Willie Larson, CNM 5901 Rhodes Ave, Valley Village, CA 91607-1131 Ph: (310) 869-0906 | Willie Larson, CNM 5901 Rhodes Ave, Valley Village, CA 91607-1131 Ph: (310) 869-0906 |
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