Individual
LARISA SAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041467219
IL
367A00000X
Advanced Practice Midwife
Primary
209025530
IL
Other
Enumeration date
07/11/2022
Last updated
09/15/2023
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