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NPI Code Detail

MEDICARE: SUZANNE LARLHAM PCNS

MEDICARE: SUZANNE LARLHAM PCNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse33534RI
2364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistAPRN01000RI
3364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistAPRN01000RI

General Provider Information

NPI Number : 1578710224
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE LARLHAM PCNS
Provider Business Mailing Address
First Line : 90 MAIN ST
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-5018
Country : US
Telephone Number : 401-248-5288
Fax Number : 401-294-5579
Provider Business Practice Location Address
First Line : 90 MAIN ST
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-5018
Country : US
Telephone Number : 401-248-5288
Fax Number : 401-294-5579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2008
Last Update Date : 01/03/2022

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