Individual provider · Type 1 NPI

Ellen L. Larusso, APRN

Family Nurse Practitioner · Daytona Beach, FL

NPI number 1427263383 Active

Practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Fax (386) 231-3614

Mailing address

5220 Belfort Rd Ste 103
Jacksonville, FL 32256-6017

Other practice locations

  • 736 Irving Avenue, Syracuse, NY 13210 · (315) 410-7111
  • 1540 Sunday Dr, Raleigh, NC 27607-6010 · (919) 782-3456

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF335300-1 (NY)
Family Nurse Practitioner 363LF0000X5009587 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000X9428863 (FL)

Family Nurse Practitioner: Definition to come...

189 other providers at this address

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About NPI 1427263383

Ellen L. Larusso, APRN's National Provider Identifier is 1427263383, issued on May 14, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Daytona Beach, FL. The record was last updated on Dec 20, 2018.