Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyrel Larsen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396366381

Tyrel Larsen is a Student in an Organized Health Care Education/Training Program in Marion, Illinois. Licensed in Illinois and Pennsylvania. Registered with an NPI since 2020.

Licensed in
IL, PA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Marion, IL

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 021.003269 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DS035312 (PA)

Record details

NPI number1396366381
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2020
Last updated in NPPESNovember 15, 2023
Certification dateNovember 14, 2023

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