LARRY RALPH NELSON MD NPI 1477510493

NPI Information

  • NPI: 1477510493
  • Provider Name: LARRY RALPH NELSON, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 809 S 15TH ST
    MOUNT VERNON, WA
    ZIP 98274
  • Phone: (360) 428-6434

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NPI Details

Larry Ralph Nelson, MD is an emergency medicine in Mount Vernon, WA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Larry Ralph Nelson, MD NPI is 1477510493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

809 S 15TH ST
MOUNT VERNON, WA
ZIP 98274-564
Phone: (360) 428-6434
Fax: (360) 428-6485

The enumeration date for this NPI number is 4/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMD00013912WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18167603MEDICAIDWASHINGTON
2A09012MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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