Individual
MR. JOHN MIDDLETON LARIVIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1914 LELARAY ST, COLORADO SPRINGS, CO 80909-2800
(303) 746-3465
(719) 632-2925
Mailing address
1914 LELARAY ST, COLORADO SPRINGS, CO 80909-2800
(303) 746-3465
(719) 632-2925
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0995529-NP
CO
363LA2100X
Acute Care Nurse Practitioner
APN.0995529-NP
CO
Other
Enumeration date
08/03/2020
Last updated
04/12/2022
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