Larose, Heather Anne

Larose, Heather Anne is an individual health care provider with primary practice located at 789 Pine St , Burlington VT 05401. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Larose, Heather Anne can be contacted via phone (802) 864-0693.

Contact Information

Primary practice address
789 Pine St Burlington VT 05401
Phone: (802) 864-0693
Fax: (802) 860-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011444 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0550030631 Vermont

Profile Details

NPI number 1154321842
LBN Legal business name Larose, Heather Anne
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jun 7th, 2013 - about 11 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 1154321842 NPPES
Vermont MEDICAID 0002358
Vermont Other 00038362

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