Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larisa Willden, FNP-C

Individual provider Family Nurse Practitioner · NPI 1598616401

Larisa Willden, FNP-C is a Nurse Practitioner in Mesa, Arizona. Qualified in 2025, 1 year ago. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2026
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

10503 E Simone Ave
Mesa, AZ 85212-9424
Phone: (623) 670-4378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 254108 (AZ)

Record details

NPI number1598616401
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 5, 2026
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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