Individual
MISTEE LARO FORMICA
Active
Individual
MISTEE LARO FORMICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
431
NC
367A00000X
Advanced Practice Midwife
APRN11026120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002155
—
NC
Enumeration date
06/10/2008
Last updated
01/19/2026
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