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:
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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 10 March, 2025.