MR. LARRY JAMES MATURIN RN APN ACNS-BC NPI 1013365360

NPI Information

NPI: 1013365360
Provider Name: MR. LARRY JAMES MATURIN, RN, APN, ACNS-BC
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Individual
Address:
990 W FULLERTON AVE
CHICAGO, IL
ZIP 60614
Phone: (815) 603-6212
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MR. Larry James Maturin, RN, APN, ACNS-BC is a clinical nurse specialist in Chicago, IL. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. MR. Larry James Maturin, RN, APN, ACNS-BC NPI is 1013365360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

990 W FULLERTON AVE
CHICAGO, IL
ZIP 60614-458
Phone: (815) 603-6212

The enumeration date for this NPI number is 5/27/2016 and was last updated on 5/27/2016.

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	163WE0003X	Registered Nurse	Emergency	041.323524	ILLINOIS	No
2	364SA2200X	Clinical Nurse Specialist	Adult Health	209.010006	ILLINOIS	No
3	364S00000X	Clinical Nurse Specialist		209.010006	ILLINOIS	Yes

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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