Doctor Name: | MARGARET ANNE LARABEE |
NPI Number: | 1124057120 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 001597 |
Business Practice Address: | 555 Willard Ave Newington, CT - 061112631 |
Business Phone Number: | 8606676838 |
Business Fax Number: | |
Mailing Address: | 68 Fairlawn Rd, GLASTONBURY |
State: | CT |
Postal Code: | 060332426 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 001597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |