Provider Demographics
NPI:1043531122
Name:LARRABEE, JENNIFER KIM (RN)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:KIM
Last Name:LARRABEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 EDGEWATER DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4642
Mailing Address - Country:US
Mailing Address - Phone:781-769-5550
Mailing Address - Fax:781-769-5356
Practice Address - Street 1:3 EDGEWATER DR
Practice Address - Street 2:SUITE 102
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4642
Practice Address - Country:US
Practice Address - Phone:781-769-5550
Practice Address - Fax:781-769-5356
Is Sole Proprietor?:No
Enumeration Date:2010-06-12
Last Update Date:2010-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA200736163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical