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NICOLE LARSEN RN
NPI 1639986334
Registered Nurse - Case Management in Red Lake, MN

Active since December 16, 2024
24760 HOSPITAL DR, RED LAKE, MN 56671(218) 679-0112(218) 679-0187 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Larsen Rn NPPES

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

NICOLE LARSEN RN (NPI 1639986334) is an individual case management provider in Red Lake, Minnesota, licensed in Minnesota (2279664) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1639986334
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameNICOLE LARSENCredential: RN
Location Address24760 HOSPITAL DRRed Lake, MN 56671
Mailing AddressPo Box 497Red Lake, MN 56671-0497 · (218) 679-0112 · Fax (218) 679-0187
Phone(218) 679-0112
Fax(218) 679-0187
Sole ProprietorNo
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1639986334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in MN · 2279664
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 2279664 (MN)
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 2279664 (MN)
24760 HOSPITAL DR, Red Lake, MN 56671
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANFORD MEDICAL CENTER FARGO
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
24760 HOSPITAL DR
RED LAKE, MN 56671
Beltrami County (218) 679-3117
JULIANA RENEE ROBERTSON LICSW
Social Worker (Clinical)
24760 HOSPITAL DR
REDLAKE, MN 56671
Beltrami County (218) 679-0168
RACHEL KOCH NURSE PRACTITIONER
Nurse Practitioner
24760 HOSPITAL DR
RED LAKE, MN 56671
Beltrami County (218) 679-3912
TRICIA LYNN COWAN DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
24760 HOSPITAL DR
RED LAKE, MN 56671
Beltrami County (218) 679-0168
DR. ALMA FLORA TATUM MD
Pediatrics
24760 HOSPITAL DR
RED LAKE, MN 56671
Beltrami County (218) 679-3912
SHERRY DAKER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL DR
RED LAKE, MN 56671
Beltrami County (218) 678-2825
TIFFANY HOMMES FNP
Nurse Practitioner (Family)
24760 HOSPITAL DR
RED LAKE, MN 56671
Beltrami County (218) 679-3316

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 Nicole Larsen's NPI number?

The NPI number for Nicole Larsen is 1639986334. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Nicole Larsen located?

Nicole Larsen practices at 24760 Hospital Dr, Red Lake, MN 56671. The listed phone number is (218) 679-0112.

What is Nicole Larsen's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Nicole Larsen was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.