Healthcare Provider Details

I. General information

NPI: 1538524467
Provider Name (Legal Business Name): JOSEPH LARKIN A.P.N
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2015
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 ROUTE 109
CAPE MAY NJ
08204-5259
US

IV. Provider business mailing address

900 ROUTE 109
CAPE MAY NJ
08204-5259
US

V. Phone/Fax

Practice location:
  • Phone: 609-884-4357
  • Fax:
Mailing address:
  • Phone: 609-884-4357
  • Fax: 609-884-4377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00632300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: