Andrea Larson in Rutland - Physician Assistant
Andrea Larson - NPI 1821158346
Andrea Larson is a Physician Assistant in Rutland, Vermont. Andrea Larson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrea Larson is 1821158346. The last update date is 2007-07-08.
Andrea Larson's current location address is 160 Allen St, Rutland, Vermont. You can contact this provider via phone number 8027757111 and fax number 8027476260. The mailing address for Andrea Larson is 160 Allen St, Rutland, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Larson |
|---|---|
| Address | 160 Allen St, Rutland, Vermont |
| Phone Number | 8027757111 |
| Fax Number | 8027476260 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1821158346 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 160 Allen St |
|---|---|
| City | Rutland |
| State | Vermont (VT) |
| Post Code | 57014560 |
| Phone Number | 8027757111 |
| Fax Number | 8027476260 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 055-0030490 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OVN0503 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Andrea Larson by the Centers for Medicare & Medicaid Services?
The Andrea Larson has been assigned the NPI (National Provider Identifier) 1821158346. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Andrea Larson located?
The Andrea Larson is located at 160 Allen St, Rutland, VT 57014560.
What is Andrea Larson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrea Larson's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821158346 to Andrea Larson?
The Centers for Medicare & Medicaid Services assigned the 1821158346 to Andrea Larson on 2006-12-12.
As of what date was the information pertaining to Andrea Larson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Andrea Larson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC