Mr. Ian A Larose, PCNS
Clinical Nurse Specialist, Psych/Mental Health, Adult in East Boston, Massachusetts
1336175066- Practice location
- 10 Gove St, East Boston, MA 02128-1920
- Phone
- 617-569-5800
- Fax
- 617-568-4780
- Last updated
- April 15, 2015
Ian A Larose is a Clinical Nurse Specialist, Psych/Mental Health, Adult based in East Boston, MA. 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 (MA). The current practice location address for Ian A Larose is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-569-5800 and via fax at 617-568-4780.
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
- Primary Taxonomy
- Clinical Nurse Specialist, Psych/Mental Health, Adult · 364SP0809X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 24, 2006
- Last Update Date
- April 15, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Gove St
East Boston, MA 02128-1920 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128-1920
- Phone Number
- 617-569-5800
- Fax Number
- 617-568-4780
Provider Business Mailing Address Details
- Address
- 10 Gove St
East Boston, MA 02128-1920 - City
- East Boston
- State
- MA
- Zip
- 02128-1920
- Phone Number
- 617-569-5800
- Fax Number
- 617-568-4780
License Information
- License Number
- 254990
- License State
- MA
- Taxonomy
- Clinical Nurse Specialist, Psych/Mental Health, Adult · 364SP0809X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Ian A Larose, PCNS?
The NPI number of Mr. Ian A Larose, PCNS is 1336175066. It was assigned on June 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Ian A Larose, PCNS?
Mr. Ian A Larose, PCNS is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Adult (code 364SP0809X), licensed in MA under license number 254990.
Where does Mr. Ian A Larose, PCNS practice?
The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-569-5800 (phone) or 617-568-4780 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336175066 directly on the NPPES registry website.