Individual
LIV ELIZABETH LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
162 DODGE RD, ROWLEY, MA 01969-2211
(978) 835-9011
Mailing address
162 DODGE RD, ROWLEY, MA 01969-2211
(978) 835-9011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
070732-21
NH
163W00000X
Registered Nurse
RN2291755
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2291755
MA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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