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Larissa Gourdet, ANP
Adult Health Nurse Practitioner in Glen Head, New York
NPI 1497205173

Larissa Gourdet is an Adult Health Nurse Practitioner based in Glen Head, NY and is specialized in Adult Health. Larissa Gourdet practices in Glen Head, NY and has the professional credentials of ANP. The NPI Number for Larissa Gourdet is 1497205173 and holds a License No. F307969 (New York).

The current practice location address for Larissa Gourdet is 997 Glen Cove Ave, Glen Head, NY and can be reached out via phone at 516-674-9144.

Location: 997 Glen Cove Ave, Glen Head, NY, 11545-1593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497205173
Provider Name
Larissa Gourdet
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
997 Glen Cove Ave, Glen Head, NY, 11545-1593
Phone Number
516-674-9144
Fax Number
Provider Enumeration Date
10/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
997 Glen Cove Ave
City
Glen Head
State
New York
Zip
11545-1593
Phone Number
516-674-9144
Fax Number
person
Provider Business Mailing Address Details
Address
997 Glen Cove Ave
City
Glen Head
State
New York
Zip
11545-1593
Phone Number
516-674-9144
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F307969 (New York)
Definition
Definition to come...
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