Healthcare Provider Details

I. General information

NPI: 1477250801
Provider Name (Legal Business Name): DEBORAH E LARRIMORE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 DODGE HOLLOW RD # 412
LEMPSTER NH
03605-3426
US

IV. Provider business mailing address

412 DODGE HOLLOW RD # 412
LEMPSTER NH
03605-3426
US

V. Phone/Fax

Practice location:
  • Phone: 603-443-1967
  • Fax:
Mailing address:
  • Phone: 603-443-1967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number082917-21
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number082917-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: