National Provider Identifier
Heather Marie Larson, PA
Heather Marie Larson, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 677-9220.
Profile Overview
- NPI
- 1003249269
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 12, 2013
- Last Updated
- August 12, 2013
Practice Location
- 3065 Southwestern Blvd
- Suite 100
- Orchard Park, NY 14127-1239
Phone: (716) 677-9220
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1003249269
- Entity Type
- Individual
- Last Name
- Larson
- First Name
- Heather
- Middle Name
- Marie
- Credential
- PA
- Mailing Street Address
- 3065 Southwestern Blvd
- Mailing Address Line 2
- Suite 100
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1239
- Mailing Country
- US
- Mailing Phone
- (716) 677-9220
- Mailing Fax
- (716) 677-9226
- Practice Street Address
- 3065 Southwestern Blvd
- Practice Address Line 2
- Suite 100
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1239
- Practice Country
- US
- Practice Phone
- (716) 677-9220
- Practice Fax
- (716) 677-9226
- Enumeration Date
- August 12, 2013
- Last Updated
- August 12, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)