Provider Demographics
NPI:1275696981
Name:LARKIN, ELLEN MAY (RN)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:MAY
Last Name:LARKIN
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:LRMC CMR402 BOX1710
Mailing Address - Street 2:
Mailing Address - City:APO AE
Mailing Address - State:LANDSTIHL
Mailing Address - Zip Code:09180
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:GEISENBERGSTR B18
Practice Address - Street 2:
Practice Address - City:BRUCHMUHLBACH
Practice Address - State:RHEINLAND PFALZ
Practice Address - Zip Code:66892
Practice Address - Country:DE
Practice Address - Phone:063-725-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00018753163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse