PAC Ashley J Larsen, NPI 1144301458
Medical Physician Assistant in Ocean Springs, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1144301458
NPI Entity Type Individual
Provider Name PAC Ashley J Larsen
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2a Doctors Dr, Ocean Springs, MS, US
Provider Mailing Address 2a Doctors Dr, Ocean Springs, MS, US, 395645721
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363AM0700X

Taxonomy Name Medical Physician Assistant
Classification

Physician Assistant

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. PA00156
License State MS
Description Definition to come...

Business Address

PAC Ashley J Larsen
2a Doctors Dr

Ocean Springs, MS, US

Phone: 228-872-1951
Fax: 228-875-9998

Mailing Address

PAC Ashley J Larsen
2a Doctors Dr
Ocean Springs, MS, US
ZIP 395645721
Phone: 228-872-1951
Fax: 228-875-9998

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
06105593 MS MEDICAID 05
1371866 LA MEDICAID 05
302I970729 MS MEDICARE 01

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