LARISSA GOURDET A.N.P NPI 1497205173

NPI Information

NPI: 1497205173
Provider Name: LARISSA GOURDET, A.N.P
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
997 GLEN COVE AVE
GLEN HEAD, NY
ZIP 11545
Phone: (516) 674-9144
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Larissa Gourdet, A.N.P is an adult health nurse practitioner in Glen Head, NY. Larissa Gourdet, A.N.P NPI is 1497205173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

997 GLEN COVE AVE
GLEN HEAD, NY
ZIP 11545-593
Phone: (516) 674-9144

The NPI 1497205173 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2016 and was last updated on 10/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F307969	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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