Individual
BENNETT LAREAU-MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 476-1000
Mailing address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(857) 206-7603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95007897
CA
363LC1500X
Community Health Nurse Practitioner
RN2271159
MA
Other
Enumeration date
12/18/2012
Last updated
11/06/2018
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