Individual provider · Type 1 NPI

Nicole Elizabeth Larva

Adult Health Nurse Practitioner · Dayton, OH

NPI number 1598233157 Active

Practice location

1 Wyoming St
Dayton, OH 45409-2711

Mailing address

3170 Kettering Blvd, Building B 3rd Floor
Moraine, OH 45439-1924

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAPRN.CNP.024609 (OH)
Gerontology Nurse Practitioner 363LG0600XAPRN.CNP.024609 (OH)
Registered Nurse 163W00000XRN288497 (OH)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1598233157

Nicole Elizabeth Larva's National Provider Identifier is 1598233157, issued on Nov 12, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dayton, OH. The record was last updated on May 13, 2019.