ADAM LARSEN
NPI 1073084034
Student in an Organized Health Care Education/Training Program in Appleton, WI

Active since December 16, 2018
3117 E DRAKE LN, APPLETON, WI 54913(920) 428-0582 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Larsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM LARSEN (NPI 1073084034) is an individual student in an organized health care education/training program in Appleton, Wisconsin and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1073084034
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM LARSEN
Location Address3117 E DRAKE LNAppleton, WI 54913-8000
Mailing Address3117 E Drake LnAppleton, WI 54913-8000
Sole ProprietorNo
Enumeration DateDecember 16, 2018
NPI 1073084034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
3117 E DRAKE LN, Appleton, WI 54913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Larsen's NPI number?

The NPI number for Adam Larsen is 1073084034. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Adam Larsen located?

Adam Larsen practices at 3117 E Drake Ln, Appleton, WI 54913. The listed phone number is (920) 428-0582.

What is Adam Larsen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Adam Larsen was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.