Doctor Name: | AMY JEANNETTE LARSON |
NPI Number: | 1043356819 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD00039071 |
Business Practice Address: | 2930 Bush Mountain Ct Sw Tumwater, WA - 985126731 |
Business Phone Number: | 3603527856 |
Business Fax Number: | |
Mailing Address: | 18702 N Creek Pkwy, Suite 212 BOTHELL |
State: | WA |
Postal Code: | 980118019 |
Phone Number: | 4254868868 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | MD00039071 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |