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NPI Code Detail

MEDICARE: LARISSA BRUM CPM

MEDICARE: LARISSA BRUM CPM
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
1374J00000XDoula
2176B00000XMidwifeMA

General Provider Information

NPI Number : 1679272629
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARISSA BRUM CPM
Provider Business Mailing Address
First Line : 865 SMITH NECK RD
Second Line :
City : SOUTH DARTMOUTH
State : MA
Zip : 02748-1511
Country : US
Telephone Number : 774-271-7221
Fax Number :
Provider Business Practice Location Address
First Line : 11 TISBURY ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02745-5731
Country : US
Telephone Number : 774-263-1254
Fax Number : 844-909-4669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2023
Last Update Date : 03/02/2025

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Directions to “ LARISSA BRUM CPM” Practice Location

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