Doctor Name: | MRS. JENNIFER KIM LARRABEE |
NPI Number: | 1043531122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 200736 |
Business Practice Address: | 3 Edgewater Dr Suite 102 Norwood, MA - 020624642 |
Business Phone Number: | 7817695550 |
Business Fax Number: | 7817695356 |
Mailing Address: | 3 Edgewater Dr, Suite 102 NORWOOD |
State: | MA |
Postal Code: | 020624642 |
Phone Number: | 7817695550 |
Fax Number: | 7817695356 |
NPI Enumeration Date: | 06/12/2010 |
NPI Last Update Date: | 06/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 200736 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |