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NPI Code Detail

MEDICARE: ELAINE A LARKINS APRN

MEDICARE: ELAINE A LARKINS APRN
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 PractitionerAPRN2540652FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2E2286AOTHERFLMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780688341
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE A LARKINS APRN
Provider Business Mailing Address
First Line : 2804 REMINGTON GREEN CIR STE 2
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-1550
Country : US
Telephone Number : 850-385-4494
Fax Number :
Provider Business Practice Location Address
First Line : 1249 STRONG RD
Second Line :
City : QUINCY
State : FL
Zip : 32351-5248
Country : US
Telephone Number : 850-875-9500
Fax Number : 850-627-2786
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 04/17/2025

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