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WALESKA LARICE M.D. NPI 1972827830


NPI Information

NPI: 1972827830
Provider Name: WALESKA LARICE, M.D.
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

PECOS Registration: Yes

Address:
1015 BOWLES AVE
FENTON, MO
ZIP 63026
Phone: (636) 496-2000
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Waleska Larice, M.D. is an emergency medical services emergency medicine in Fenton, MO with 14 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Waleska Larice, M.D. NPI is 1972827830. 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:

1015 BOWLES AVE
FENTON, MO
ZIP 63026
Phone: (636) 496-2000

The NPI 1972827830 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2010 and was last updated on 9/12/2018.


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
1207PE0004XEmergency MedicineEmergency Medical Services2479VIRGIN ISLANDSNo
2207Q00000XFamily Medicine036134631ILLINOISNo
3207Q00000XFamily MedicineME117446FLORIDANo
4207Q00000XFamily Medicine2013020319MISSOURINo
5207PE0004XEmergency MedicineEmergency Medical Services2013020319MISSOURIYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.