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Larissa Dyan Kirk
Licensed Practical Nurse in Austin, Texas
NPI 1003318726

Larissa Dyan Kirk is a Licensed Practical Nurse based in Austin, TX. Larissa Dyan Kirk practices in Austin, TX. The NPI Number for Larissa Dyan Kirk is 1003318726 and holds a License No. 19572 (Texas).

The current practice location address for Larissa Dyan Kirk is 1631 E 2Nd St, Austin, TX and can be reached out via phone at 512-455-7787.

Location: 1631 E 2Nd St, Austin, TX, 78704-2911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003318726
Provider Name
Larissa Dyan Kirk
Credential
Provider Entity Type
Individual
Gender
Female
Address
1631 E 2Nd St, Austin, TX, 78704-2911
Phone Number
512-455-7787
Fax Number
Provider Enumeration Date
03/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1631 E 2Nd St
City
Austin
State
Texas
Zip
78702-4490
Phone Number
512-455-7787
Fax Number
person
Provider Business Mailing Address Details
Address
1631 E 2Nd St
City
Austin
State
Texas
Zip
78702-4490
Phone Number
512-455-7787
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
19572 (Nebraska)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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