| Doctor Name: | SUE LARKIN |
| NPI Number: | 1043639602 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 632541 |
| Business Practice Address: | 516 E Nizhoni Blvd Gallup, NM - 873015748 |
| Business Phone Number: | 5057221415 |
| Business Fax Number: | |
| Mailing Address: | 3067 Adobe Ct, GALLUP |
| State: | NM |
| Postal Code: | 873016802 |
| Phone Number: | 5713095899 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2014 |
| NPI Last Update Date: | 04/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 632541 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |