Individual
ANDREA L. LAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
44 SOUTH MAIN STREET, BOX 2000, RANDOLPH, VT 05060
(802) 728-7000
(802) 728-2613
Mailing address
29 IRIS LN, SOUTH BURLINGTON, VT 05403-7540
(802) 318-3323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010084543
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047Z301
—
VT
Enumeration date
04/13/2012
Last updated
04/13/2012
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