Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
ELLEN L LARUSSO
Active
Individual
ELLEN L LARUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5009587
NC
363LF0000X
Family Nurse Practitioner
Primary
9428863
FL
363LF0000X
Family Nurse Practitioner
F335300-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2007
Last updated
12/20/2018
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