Provider Demographics
NPI:1033799192
Name:LARROW, FAY (BSN,RN)
Entity Type:Individual
Prefix:MRS
First Name:FAY
Middle Name:
Last Name:LARROW
Suffix:
Gender:F
Credentials:BSN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PITTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-1209
Mailing Address - Country:US
Mailing Address - Phone:908-735-4031
Mailing Address - Fax:908-730-1347
Practice Address - Street 1:40 PITTSTOWN RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1209
Practice Address - Country:US
Practice Address - Phone:908-735-4031
Practice Address - Fax:908-730-1347
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR9961300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse