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NPI Code Detail

MEDICARE: MARCELLE VIENS LAROSE FNP-BC

MEDICARE: MARCELLE VIENS LAROSE FNP-BC
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
1363LF0000XFamily Nurse PractitionerRN2275409MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245662691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCELLE VIENS LAROSE FNP-BC
Provider Business Mailing Address
First Line : 710 LANGLEY ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-6231
Country : US
Telephone Number : 774-644-0283
Fax Number :
Provider Business Practice Location Address
First Line : 3 WASHINGTON ST STE 220
Second Line :
City : NORTH EASTON
State : MA
Zip : 02356-1034
Country : US
Telephone Number : 508-230-0155
Fax Number : 508-230-0145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2013
Last Update Date : 10/28/2019

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