Healthcare Provider Details

I. General information

NPI: 1700791670
Provider Name (Legal Business Name): LARISSA ANDREWS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101720 OVERSEAS HWY
KEY LARGO FL
33037-2664
US

IV. Provider business mailing address

101720 OVERSEAS HWY
KEY LARGO FL
33037-2664
US

V. Phone/Fax

Practice location:
  • Phone: 305-367-1316
  • Fax:
Mailing address:
  • Phone: 305-367-1316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11049648
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: