Stephen Larson is a Antigo, Wisconsin based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Stephen Larson is 202157-30 for Anesthesia Administration in Wisconsin. his current practice location is 112 E 5th Ave, Antigo. Patients can reach him at 715-623-2331. Stephen Larson is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1568465201.
Stephen Larson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Stephen Larson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Gender: | Male |
| Practice Address: | 112 E 5th Ave, Antigo,
Wisconsin, 54409-2710 |
| Phone: | 715-623-2331 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1568465201 |
| NPI Enumeration Date: | 26 May, 2005 |
| NPI Last Update On: | 16 Apr, 2014 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephen Larson are as mentioned below.
| License Number | Specialization | State | Status | |
| 202157-30 | Anesthesia Administration | Wisconsin | Primary | |
| R-081276-4 | Anesthesia Administration | Minnesota | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stephen Larson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1882 | Other | | IBAX |
| 136542800 | Medicaid | Minnesota | |
| 52D0662095 | Other | | CLIA |
| 43293000 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1752 Edgewood Rd,
Winona, Minnesota |
| Zip: | 55987-2149 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Stephen Larson at
112 E 5th Ave, Antigo, Wisconsin or can
call to book an appointment on 715-623-2331.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.