Overview
Name: JAYNE M LARSON C.P.N.P. JAYNE RAYCHER C.P.N.P.
Specialty: Pediatric Nurse Practitioner
Type of Practice: Individual provider
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Pediatrics.
Definition of Specialty: Definition to come…
License & NPI
License #(s): R111622-3, , , ,
License State(s): MN, WI, , ,
Addresses
Practice Location: 14135 CEDAR AVE,SUITE 100,APPLE VALLEY,MN,551244522,US
Mailing Address: 14135 CEDAR AVE,SUITE 100,APPLE VALLEY,MN,551244522,US
Contact #
Practice location phone #: 9524324373
Practice location fax #: 9529975679
Mailing address Phone #: 9524324373
Mailing Address fax #: 9529975679
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/22/2005
Last data data was updated: 07/08/2007
Insurances: