MR. PAUL DANIEL LARSON NP NPI 1376656421

NPI Information

NPI: 1376656421
Provider Name: MR. PAUL DANIEL LARSON, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1 WALLACE BASHAW WAY
SUITE 2001
NEWBURYPORT, MA
ZIP 01950
Phone: (802) 777-6639
Get Directions

MR. Paul Daniel Larson, NP is a family nurse practitioner in Newburyport, MA. MR. Paul Daniel Larson, NP NPI is 1376656421. 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:

1 WALLACE BASHAW WAY
SUITE 2001
NEWBURYPORT, MA
ZIP 01950-875
Phone: (802) 777-6639

The NPI 1376656421 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 8/15/2006 and was last updated on 5/28/2015.

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	363LF0000X	Nurse Practitioner	Family	101-0030149	VERMONT	No
2	363LF0000X	Nurse Practitioner	Family	RN2299514	MASSACHUSETTS	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
1	LANP4791	MEDICARE ID-TYPE UNSPECIFIED
2	1010942	MEDICAID	VERMONT
3	Q26807	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »