| Doctor Name: | MRS. AMY S LARUM |
| NPI Number: | 1043347198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 524072 |
| Business Practice Address: | 720 Wood St Eureka, CA - 955014413 |
| Business Phone Number: | 7072682927 |
| Business Fax Number: | 7074764061 |
| Mailing Address: | 720 Wood St, EUREKA |
| State: | CA |
| Postal Code: | 955014413 |
| Phone Number: | 7072682927 |
| Fax Number: | 7074764061 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 524072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |