Individual
MARIAN B. LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
329 MAINE ST, BRUNSWICK, ME 04011-3310
(207) 373-2000
Mailing address
329 MAINE ST, BRUNSWICK, ME 04011-3310
(207) 373-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
054173-23-03
NH
363LF0000X
Family Nurse Practitioner
Primary
R025767
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30343722
—
NH
Enumeration date
01/07/2006
Last updated
07/08/2007
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