Liv Elizabeth Larsen, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Rowley, MA
NPI 1184095903 · NPPES record last updated Oct 20, 2015
Key facts
- NPI
- 1184095903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2291755 (MA)
- Practice address
- 162 Dodge Rd
Rowley, MA 01969-2211 - Phone
- (978) 835-9011
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070732-21 | NH | MD | Registered Nurse |
| RN2291755 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2291755 | MA | |
| Registered Nurse | 163W00000X | 070732-21 | NH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2291755 | MA | Yes |
Addresses
Primary practice location
162 Dodge Rd
Rowley, MA 01969-2211
Mailing address
162 Dodge Rd
Rowley, MA 01969-2211
Phone (978) 835-9011
Other providers in Rowley, MA
- Cailin A. James
- Maggie Sullivan Johnson
- Kidshine LLC
- Katherine Kroeger
- Enid Elizabeth Larsen
- Kathryn Ruth Larson
- Michelle Le
- Leader Eye Associates Inc
- James Liebke
- Live Well Counseling LLC
All providers in Rowley, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.