LARISSA GOURDET A.N.P NPI 1497205173

NPI Information

  • NPI: 1497205173
  • Provider Name: LARISSA GOURDET, A.N.P
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 997 GLEN COVE AVE
    GLEN HEAD, NY
    ZIP 11545
  • Phone: (516) 674-9144

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NPI Details

Larissa Gourdet, A.N.P is an adult health nurse practitioner in Glen Head, NY. Larissa Gourdet, A.N.P NPI is 1497205173. 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:

997 GLEN COVE AVE
GLEN HEAD, NY
ZIP 11545-593
Phone: (516) 674-9144

The enumeration date for this NPI number is 10/6/2016 and was last updated on 10/6/2016.

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
1363LA2200XNurse PractitionerAdult HealthF307969NEW YORKYes

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: 11/21/2025

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