Active NPIIndividual provider

Mr. Paul D Larson, NP

Nurse Practitioner, Family in Newburyport, Massachusetts

NPI Number1376656421
Practice location
1 Wallace Bashaw Way, Suite 2001, Newburyport, MA 01950-3875
Fax
—
Last updated
May 28, 2015

Paul Daniel Larson is a Nurse Practitioner, Family based in Newburyport, MA. Paul Daniel Larson practices in Newburyport, MA and has the professional credentials of NP. The NPI Number for Paul Daniel Larson is 1376656421 and holds a License No. 101-0030149 (VT). The current practice location address for Paul Daniel Larson is 1 Wallace Bashaw Way, Suite 2001, Newburyport, MA 01950-3875 and can be reached out via phone at 802-777-6639.

Provider Profile Details

NPI Number
1376656421
Provider Name
Paul Daniel Larson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1 Wallace Bashaw Way, Suite 2001, Newburyport, MA 01950-3875
Phone Number
802-777-6639
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2006
Last Update Date
May 28, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Wallace Bashaw Way
Suite 2001
Newburyport, MA 01950-3875
Zip
01950-3875
Phone Number
802-777-6639
Newburyport, MA 01950Get directions →

Provider Business Mailing Address Details

Address
319 River RD
Essex Junction, VT 05452-4000
City
Essex Junction
State
VT
Zip
05452-4000
Phone Number
802-777-6639

License Information

License Number (1)
101-0030149
License State (1)
VT
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
RN2299514
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Paul D Larson, NP?

The NPI number of Mr. Paul D Larson, NP is 1376656421. It was assigned on August 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Paul D Larson, NP?

Mr. Paul D Larson, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in VT under license number 101-0030149.

Where does Mr. Paul D Larson, NP practice?

The practice location is 1 Wallace Bashaw Way, Suite 2001, Newburyport, MA 01950-3875. The office can be reached at 802-777-6639 (phone).

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 1376656421 directly on the NPPES registry website.

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