Heather Larson, AGACNP-BC
Gerontology Nurse Practitioner · Peoria, IL
Practice location
200 E Pennsylvania AvePeoria, IL 61603-3089
- Phone
- (309) 655-2000
NPI record
- NPI
- 1114724317
- Entity type
- Individual (Type 1)
- Enumeration date
- February 26, 2025
- Last updated
- March 11, 2025
- Certified
- February 28, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X |
209031767 | IL |
| Acute Care Nurse Practitioner | 363LA2100X |
209.031767 | IL |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
About Heather Larson
Heather Larson, AGACNP-BC is a healthcare provider registered in the NPI registry with the primary taxonomy Gerontology Nurse Practitioner (code 363LG0600X). The practice location is 200 E Pennsylvania Ave, Peoria, IL 61603-3089. The NPI number 1114724317 was assigned on February 26, 2025 and the record was last updated on March 11, 2025.
Heather Larson lists 2 licenses in the registry: #209031767 (IL) for Gerontology Nurse Practitioner; #209.031767 (IL) for Acute Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Heather Larson, AGACNP-BC?
The NPI number is 1114724317.
What is the phone number of Heather Larson?
The phone number listed for the practice location is (309) 655-2000.
Where is Heather Larson located?
200 E Pennsylvania Ave, Peoria, IL 61603-3089.
What is the taxonomy code for Heather Larson?
The primary taxonomy code is 363LG0600X – Gerontology Nurse Practitioner; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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