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KIMBERLY S LARSON N.P.
NPI 1982614723
Nurse Practitioner - Family in Evanston, WY

Active since August 08, 2006
170 ARROWHEAD DR, EVANSTON, WY 82930(307) 789-0096(307) 789-0860 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly S Larson N.p. NPPES

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

KIMBERLY S LARSON N.P. (NPI 1982614723) is an individual family provider in Evanston, Wyoming, licensed in Wyoming (18217.0308) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1982614723
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY S LARSONCredential: N.P.
Location Address170 ARROWHEAD DREvanston, WY 82930-9266
Mailing Address1573 Mallory Ln, Ste 100Brentwood, TN 37027-2895 · (615) 221-3855 · Fax (615) 221-1484
Phone(307) 789-0096
Fax(307) 789-0860
Sole ProprietorYes
Enumeration DateAugust 8, 2006
Last NPPES UpdateOctober 4, 2016
✔ NPI 1982614723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WY · 18217.0308✔ Licensed in UT · 363542-4405
170 ARROWHEAD DR, Evanston, WY 82930
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Other Identifiers 4

Medicaid120048800WY
Medicare ID-Type Unspecified000012894UT
Medicare UPINQ27062
Medicare ID-Type Unspecified10455WY

Other Providers at the Same Location NPPES 3

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

D MCKAY FRANCOM DDS
Dentist (General Practice)
170 ARROWHEAD DR, SUITE 1
EVANSTON, WY 82930
Uinta County (307) 789-8910
MOUNTAIN MEDICINE LLC
Clinic/Center (Primary Care)
170 ARROWHEAD DR
EVANSTON, WY 82930
Uinta County (307) 267-2116
PAIN CARE CENTER LLC
Anesthesiology (Pain Medicine)
170 ARROWHEAD DR, SUITE 2
EVANSTON, WY 82930
Uinta County (307) 212-6270

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 Kimberly Larson's NPI number?

The NPI number for Kimberly Larson is 1982614723. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Kimberly Larson located?

Kimberly Larson practices at 170 Arrowhead Dr, Evanston, WY 82930. The listed phone number is (307) 789-0096.

What is Kimberly Larson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Larson was last updated on October 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.