person
Mr. Ian A Larose, PCNS
Adult Psychiatric/Mental Health Clinical Nurse Specialist in East Boston, Massachusetts
NPI 1336175066

Ian A Larose is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in East Boston, MA and is specialized in Psychiatric/Mental Health, Adult. Ian A Larose practices in East Boston, MA and has the professional credentials of PCNS. The NPI Number for Ian A Larose is 1336175066 and holds a License No. 254990 (Massachusetts).

The current practice location address for Ian A Larose is 10 Gove St, East Boston, MA and can be reached out via phone at 617-569-5800 and via fax at 617-568-4780.

Location: 10 Gove St, East Boston, MA, 02128-1920
person
Provider Profile Details
NPI Number
1336175066
Provider Name
Ian A Larose
Credential
PCNS
Provider Entity Type
Individual
Gender
Male
Address
10 Gove St, East Boston, MA, 02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10 Gove St
City
State
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
person
Provider Business Mailing Address Details
Address
10 Gove St
City
State
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
254990 (Massachusetts)
Definition
Definition to come...
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