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

Mr. Bryan Duane Larson, DNP-PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174177471

Mr. Bryan Duane Larson, DNP-PMHNP is a Nurse Practitioner in Mattawa, Washington. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2019

Practice location Address checks out

210 Government Rd
Mattawa, WA 99349-0906
Phone: (509) 932-4499
Fax: (509) 932-5363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60980845 (WA)

Record details

NPI number1174177471
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP-PMHNP
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mattawa