National Provider Identifier
William Larsen, FNP
William Larsen, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 339-0670.
Profile Overview
- NPI
- 1124409099
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 16, 2015
- Last Updated
- August 23, 2022
Practice Location
- 905 Hanshaw RD
- Ithaca, NY 14850-1549
Phone: (607) 339-0670
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1124409099
- Entity Type
- Individual
- Last Name
- Larsen
- First Name
- William
- Name Prefix
- Mr.
- Credential
- FNP
- Mailing Street Address
- 905 Hanshaw RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1549
- Mailing Country
- US
- Mailing Phone
- (607) 339-0670
- Mailing Fax
- (607) 319-5524
- Practice Street Address
- 905 Hanshaw RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1549
- Practice Country
- US
- Practice Phone
- (607) 339-0670
- Practice Fax
- (607) 319-5524
- Enumeration Date
- June 16, 2015
- Last Updated
- August 23, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 23, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 2734852 (NY, Medicaid Group), 1088 (NY, Total Care Group), 04173960 (NY)