Provider Demographics
NPI:1083969943
Name:LARIMORE-ARENAS, DARCIE ANN (PA)
Entity Type:Individual
Prefix:MS
First Name:DARCIE
Middle Name:ANN
Last Name:LARIMORE-ARENAS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PROFESSIONAL CENTER DR STE 326
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-4334
Mailing Address - Country:US
Mailing Address - Phone:415-897-5400
Mailing Address - Fax:415-892-9506
Practice Address - Street 1:300 PROFESSIONAL CENTER DR STE 326
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94947-4334
Practice Address - Country:US
Practice Address - Phone:415-897-5400
Practice Address - Fax:415-892-9506
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA22446OtherSTATE MEDICAL LICENSE