Theresa A Larson
Theresa A Larson is a Psychiatric/Mental Health Nurse Practitioner in Deerfield, Illinois. Licensed in Illinois. Registered with an NPI since 2024.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
440 Lake Cook Rd Ste 2Deerfield, IL 60015-5263
Phone: (847) 236-9310
Fax: (847) 236-9411
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 209.029761 (IL) |
|---|
Record details
| NPI number | 1942040472 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 31, 2024 |
| Last updated in NPPES | May 31, 2024 |
| Certification date | May 30, 2024 |
| Mailing address | 440 Lake Cook Rd Ste 2, Deerfield, IL 60015-5263 |