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Ellen L Larusso, APRN
Family Nurse Practitioner in Daytona Beach, Florida
NPI 1427263383

Ellen L Larusso is a Family Nurse Practitioner based in Jacksonville, FL and is specialized in Family. Ellen L Larusso practices in Daytona Beach, FL and has the professional credentials of APRN. The NPI Number for Ellen L Larusso is 1427263383 and holds a License No. F335300-1 (Florida).

The current practice location address for Ellen L Larusso is 301 Memorial Medical Pkwy, Daytona Beach, FL and can be reached out via phone at 386-231-3615 and via fax at 386-231-3614.

Location: 301 Memorial Medical Pkwy, Daytona Beach, FL, 32256-6017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427263383
Provider Name
Ellen L Larusso
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
301 Memorial Medical Pkwy, Daytona Beach, FL, 32256-6017
Phone Number
386-231-3615
Fax Number
386-231-3614
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Memorial Medical Pkwy
City
Daytona Beach
State
Florida
Zip
32117-5167
Phone Number
386-231-3615
Fax Number
386-231-3614
person
Provider Business Mailing Address Details
Address
301 Memorial Medical Pkwy
City
Daytona Beach
State
Florida
Zip
32117-5167
Phone Number
386-231-3615
Fax Number
386-231-3614
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5009587 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
F335300-1 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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