Individual provider · Type 1 NPI
Shaye Larie, NP
Primary Care Nurse Practitioner · Gualala, CA
NPI number
1013478569
Active
Practice location
38001 Old Stage Rd
Gualala, CA 95445-8543
Fax (855) 538-4796
Mailing address
PO Box 1074
Gualala, CA 95445-1074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95207424 (CA) |
| Primary Care Nurse Practitioner | 363LP2300X | NP95207424 (CA) |
| Family Nurse Practitioner | 363LF0000X | 60704 (ID) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1013478569
Shaye Larie, NP's National Provider Identifier is 1013478569, issued on Mar 27, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Gualala, CA. The record was last updated on Oct 2, 2025.