| Doctor Name: | DR. NELS V LARSEN |
| NPI Number: | 1639127442 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS DC RD |
| License Number: | |
| Business Practice Address: | 5099 W Dobbins Rd Ste B Laveen, AZ - 853399733 |
| Business Phone Number: | 6022372555 |
| Business Fax Number: | 4802753774 |
| Mailing Address: | Po Box 91, LAVEEN |
| State: | AZ |
| Postal Code: | 853390091 |
| Phone Number: | 6022372555 |
| Fax Number: | 4802753774 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 07/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |