MRS. HEATHER ANNE LAROSE PAC NPI 1154321842

NPI Information

NPI: 1154321842
Provider Name: MRS. HEATHER ANNE LAROSE, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
789 PINE ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 864-0693
Get Directions

MRS. Heather Anne Larose, PAC is a medical physician assistant in Burlington, VT. MRS. Heather Anne Larose, PAC NPI is 1154321842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

789 PINE ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 864-0693
Fax: (802) 860-6613

The enumeration date for this NPI number is 7/26/2005 and was last updated on 6/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		011444	NEW YORK	No
2	363AM0700X	Physician Assistant	Medical	0550030631	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00256398	MEDICARE PIN	VERMONT
2	0002358	MEDICAID	VERMONT
3	00038362	OTHER	VERMONT	BCBS
4	P09069	MEDICARE UPIN	VERMONT
5	VN0879	MEDICARE PIN	VERMONT
6	AP1288	MEDICARE ID-TYPE UNSPECIFIED	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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