- Practice location
- 1015 Bowles Ave, Fenton, MO 63026
- Phone
- 636-496-2000
- Fax
- —
- Last updated
- September 12, 2018
Waleska Larice is an Emergency Medicine, Emergency Medical Services based in Fenton, MO. Waleska Larice practices in Fenton, MO and has the professional credentials of MD. The NPI Number for Waleska Larice is 1972827830 and holds a License No. 2479 (VI). The current practice location address for Waleska Larice is 1015 Bowles Ave, Fenton, MO 63026 and can be reached out via phone at 636-496-2000.
Provider Profile Details
- NPI Number
- 1972827830
- Provider Name
- Waleska Larice
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1015 Bowles Ave, Fenton, MO 63026
- Phone Number
- 636-496-2000
- Primary Taxonomy
- Emergency Medicine, Emergency Medical Services · 207PE0004X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 22, 2010
- Last Update Date
- September 12, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1015 Bowles Ave
Fenton, MO 63026 - City
- Fenton
- State
- Missouri
- Zip
- 63026
- Phone Number
- 636-496-2000
Provider Business Mailing Address Details
- Address
- 58 Chesterfield Lakes RD
Chesterfield, MO 63005-4522 - City
- Chesterfield
- State
- MO
- Zip
- 63005-4522
- Phone Number
- 636-485-2569
License Information
- License Number (1)
- 2479
- License State (1)
- VI
- Taxonomy (1)
- Emergency Medicine, Emergency Medical Services · 207PE0004X
- License Number (2)
- 036134631
- License State (2)
- IL
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- ME117446
- License State (3)
- FL
- Taxonomy (3)
- Family Medicine · 207Q00000X
- License Number (4)
- 2013020319
- License State (4)
- MO
- Taxonomy (4)
- Family Medicine · 207Q00000X
- License Number (5)
- 2013020319
- License State (5)
- MO
- Taxonomy (5)
- Emergency Medicine, Emergency Medical Services · 207PE0004X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Emergency Medicine, Emergency Medical Services providers near Fenton, MO
View all Emergency Medicine, Emergency Medical Services providers in Fenton →Frequently Asked Questions
What is the NPI number of Waleska Larice, MD?
The NPI number of Waleska Larice, MD is 1972827830. It was assigned on March 22, 2010 and is currently active in the NPPES registry.
What is the specialty of Waleska Larice, MD?
Waleska Larice, MD is registered under the primary taxonomy Emergency Medicine, Emergency Medical Services (code 207PE0004X), licensed in VI under license number 2479.
Where does Waleska Larice, MD practice?
The practice location is 1015 Bowles Ave, Fenton, MO 63026. The office can be reached at 636-496-2000 (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 1972827830 directly on the NPPES registry website.