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

Nicole M Larson, GNP

Individual provider Gerontology Nurse Practitioner · NPI 1730342072

Nicole M Larson, GNP is a Nurse Practitioner in St Louis Park, Minnesota. Qualified in 2008, 18 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2008
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Practice location Address checks out

3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone: (952) 993-3123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence R 159786-8 (MN)

Record details

NPI number1730342072
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP
Sole proprietorNo
NPI enumeratedJuly 8, 2008
Last updated in NPPESOctober 27, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in St Louis Park