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

Stephanie Shevanne Larsen

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770373383

Stephanie Shevanne Larsen is a Nurse Practitioner in Los Angeles, California. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013
Phone: (310) 361-8043
Fax: (310) 986-8241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6330 San Vicente Blvd Ste 510, Los Angeles, CA 90048-5455 — (310) 361-8043

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95035782 (CA)

Record details

NPI number1770373383
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2025
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 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 locations4 on file with Medicare

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