Provider Demographics
NPI:1306195839
Name:MUNCASTER, LARKIN E (FNP)
Entity Type:Individual
Prefix:
First Name:LARKIN
Middle Name:E
Last Name:MUNCASTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LARKIN
Other - Middle Name:
Other - Last Name:HAMRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1300 JEFFERSON PARK AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-3363
Practice Address - Country:US
Practice Address - Phone:800-543-8814
Practice Address - Fax:434-982-0722
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001219781163W00000X
VA0024170334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse