Provider Demographics
NPI:1598926974
Name:LARSEN, BARBARA LYNN (CNM, WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LYNN
Last Name:LARSEN
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
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Mailing Address - Street 1:7900 HENNEMAN WAY
Mailing Address - Street 2:#100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2914
Mailing Address - Country:US
Mailing Address - Phone:214-544-6600
Mailing Address - Fax:214-255-7700
Practice Address - Street 1:7900 HENNEMAN WAY
Practice Address - Street 2:#100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2914
Practice Address - Country:US
Practice Address - Phone:214-544-6600
Practice Address - Fax:214-255-7700
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX687619364SW0102X, 363LW0102X
TXAP116047367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTPI 19355512Medicaid