Individual
ANDREA M. LAROSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1 ELLIOT WAY, NEONATOLOGY SERVICES - ELLIOT HOSPITAL, MANCHESTER, NH 03103-3502
(603) 663-2692
(603) 663-3982
Mailing address
1 ELLIOT WAY, NEONATOLOGY SERVICES - ELLIOT HOSPITAL, MANCHESTER, NH 03103-3502
(603) 663-2692
(603) 663-3982
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
031537-23-10
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22564Y
ANTHEM REFERRING RAN
NH
05
—
30344388
—
NH
01
—
40Y002583NH02
ANTHEM ACES
NH
01
—
669766
CIGNA PIN
NH
01
—
AA5998
HPHC PIN
NH
Enumeration date
04/05/2006
Last updated
07/09/2007
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