Larissa Barclay in Southfield - Adult Health

Larissa Barclay - NPI 1649473786

Larissa Barclay is a Adult Health in Southfield, Michigan. Larissa Barclay practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Larissa Barclay is 1649473786. The last update date is 2023-11-08.

Larissa Barclay's current location address is 17515 W 9 Mile Rd Ste 650, Southfield, Michigan. You can contact this provider via phone number 2489638189 and fax number 7634027611. The mailing address for Larissa Barclay is 17515 W 9 Mile Rd Ste 650, Southfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Larissa Barclay
Address 17515 W 9 Mile Rd Ste 650, Southfield, Michigan
Phone Number 2489638189
Fax Number 7634027611
Sole Proprietor N
Credentials DNP, NP-C,

NPI Number Detail

NPI Number 1649473786
Provider Enumeration Date 2007-06-07
Last Updated Date 2023-11-08

Provider Mailing Address Detail

Address 17515 W 9 Mile Rd Ste 650
City Southfield
State Michigan (MI)
Post Code 480754403
Phone Number 2489638189
Fax Number 7634027611

Provider's Primary Taxonomy Detail

Speciality Adult Health
Taxonomy 363La2200X
Licence No 4704196307
Definition:
An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ON99340003 MI MEDICARE
5008674420 MI BCBS

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FAQs about Larissa Barclay

What is the Larissa Barclay's unique identification number?

The Larissa Barclay has been assigned the NPI (National Provider Identifier) Number 1649473786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Larissa Barclay's physical address?

The Larissa Barclay is physically located at 17515 W 9 Mile Rd Ste 650, in the city of Southfield, MI, with the postal code 480754403.

What is the Larissa Barclay's specialty and taxonomy code?

The Larissa Barclay's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1649473786 to Larissa Barclay?

The Larissa Barclay received its 1649473786 assignment from the Centers for Medicare & Medicaid Services on 2007-06-07.

As of what date was the information pertaining to Larissa Barclay, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Larissa Barclay, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-11-08.

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