Provider Demographics
NPI:1881489714
Name:LARSON, ROBBYN KRISTINE
Entity type:Individual
Prefix:MRS
First Name:ROBBYN
Middle Name:KRISTINE
Last Name:LARSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 CALS LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:WI
Mailing Address - Zip Code:54121-9343
Mailing Address - Country:US
Mailing Address - Phone:906-239-2323
Mailing Address - Fax:906-776-5292
Practice Address - Street 1:5008 CALS LN
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:WI
Practice Address - Zip Code:54121-9343
Practice Address - Country:US
Practice Address - Phone:906-239-2323
Practice Address - Fax:906-776-5292
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI32577431164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse