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LARSON BERGQUIST
NPI 1740854744
Student in an Organized Health Care Education/Training Program in Henderson, NV

Active since May 14, 2021
2056 SAPPHIRE VALLEY AVE, HENDERSON, NV 89074(702) 326-5960 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Larson Bergquist NPPES

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

LARSON BERGQUIST (NPI 1740854744) is an individual student in an organized health care education/training program in Henderson, Nevada and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1740854744
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLARSON BERGQUIST
Location Address2056 SAPPHIRE VALLEY AVEHenderson, NV 89074-1532
Mailing Address2056 Sapphire Valley AveHenderson, NV 89074-1532 · (702) 326-5960
Phone(702) 326-5960
Sole ProprietorYes
Enumeration DateMay 14, 2021
NPPES CertifiedMay 14, 2021
✔ NPI 1740854744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
2056 SAPPHIRE VALLEY AVE, Henderson, NV 89074
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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 Larson Bergquist's NPI number?

The NPI number for Larson Bergquist is 1740854744. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Larson Bergquist located?

Larson Bergquist practices at 2056 Sapphire Valley Ave, Henderson, NV 89074. The listed phone number is (702) 326-5960.

What is Larson Bergquist'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 Larson Bergquist was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.