Individual
ELIZABETH ANNE LAREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
170 BEECH ST, SUITE #1, HARROGATE, TN 37752-8206
(423) 869-3684
Mailing address
220 GREEN MOUNTAIN TRL, EWING, VA 24248-8879
(865) 585-1146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000013325
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001211411
MULTISTATE
VA
01
—
08111
CERTIFICATE TO PRESCRIBE
OH
01
—
1079900/3338P
KY
KY
01
—
APN0000013325
TN LICENSE
TN
01
—
NP08111 RN315356
NP LICENSE AND RN
OH
Enumeration date
02/15/2007
Last updated
03/07/2023
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