Individual
LARISA PITON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2400 N. ROCKTON AVE., PAIN MANAGEMENT DEPT, ROCKFORD, IL 61103-3655
(815) 971-5000
(815) 968-9677
Mailing address
2400 N. ROCKTON AVE., PAIN MANAGEMENT DEPT, ROCKFORD, IL 61103-3655
(815) 971-5000
(815) 968-9677
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
041356380
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209009823
IL
Other
Enumeration date
11/27/2012
Last updated
02/04/2015
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