Provider Demographics
NPI:1073772448
Name:LARRIEUX, ANNE H (LPN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:H
Last Name:LARRIEUX
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:HELENE
Other - Last Name:FORESTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 848263
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33084-0263
Mailing Address - Country:US
Mailing Address - Phone:954-925-1997
Mailing Address - Fax:
Practice Address - Street 1:3059 RED MANGROVE LN
Practice Address - Street 2:
Practice Address - City:DANIA
Practice Address - State:FL
Practice Address - Zip Code:33312-0263
Practice Address - Country:US
Practice Address - Phone:954-925-1997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5175393164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse