Healthcare Provider Details

I. General information

NPI: 1548691686
Provider Name (Legal Business Name): ALLISON JOYCE HOLT LARKIN MSN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2013
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987 E HILLSDALE BLVD
FOSTER CITY CA
94404-2112
US

IV. Provider business mailing address

65 VENTURA ST
HALF MOON BAY CA
94019-1358
US

V. Phone/Fax

Practice location:
  • Phone: 408-996-1911
  • Fax:
Mailing address:
  • Phone: 916-223-4554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP9500477
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP013430
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95004777
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: