BETTY LARSEN PAC
NPI 1679894299
Physician Assistant in Park Rapids, MN

Q: What is Betty Larsen's NPI number?

The NPI number for Betty Larsen is 1679894299. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Q: What is Betty Larsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Betty Larsen was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 17, 2010

705 PLEASANT AVE S, PARK RAPIDS, MN 56470(218) 732-2800(218) 732-2874 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Betty Larsen Pac NPPES

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

BETTY LARSEN PAC (NPI 1679894299) is an individual physician assistant in Park Rapids, Minnesota, licensed in Minnesota (10749) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1679894299

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBETTY LARSENCredential: PAC

Location Address705 PLEASANT AVE SPark Rapids, MN 56470-1440

Mailing AddressPo Box 6001Fargo, ND 58108-6001 · (701) 364-8000 · Fax (701) 364-8078

Phone(218) 732-2800

Fax(218) 732-2874

Sole ProprietorNo

Enumeration DateJune 17, 2010

Last NPPES UpdateJuly 24, 2012

✔ NPI 1679894299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MN · 10749✔ Licensed in ND · TC

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

705 PLEASANT AVE S, Park Rapids, MN 56470

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Other Identifiers 2

Medicaid1679894299MN

Medicare PIN970004819MN

Other Providers at the Same Location NPPES 20

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

JONATHON R PETERSON PT

Physical Therapist