Bousquet, Larry Lee
Bousquet, Larry Lee is an individual health care provider with primary practice located at 1611 E Joy Ln # 1 , Fort Mohave AZ 86426-8807. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Bousquet, Larry Lee can be contacted via phone (928) 768-9496.Contact Information
Primary practice address
1611 E Joy Ln # 1
Fort Mohave AZ 86426-8807
Phone: (928) 768-9496
Fax: (928) 768-1943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 283825 | Arizona |
Profile Details
| NPI number | 1205544871 |
|---|---|
| LBN Legal business name | Bousquet, Larry Lee |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2022 |
| Last updated | Nov 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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