Larose, Heather Ann

Larose, Heather Ann is an sole proprietor health care provider with primary practice located at 26032 Cramer Rd , Watertown NY 13601-5754. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Larose, Heather Ann can be contacted via phone (315) 232-3730.

Contact Information

Primary practice address
26032 Cramer Rd Watertown NY 13601-5754
Phone: (315) 232-3730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 231840-1 New York

Profile Details

NPI number 1790995637
LBN Legal business name Larose, Heather Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790995637 NPPES
New York MEDICAID 02773655

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