Provider Demographics
NPI:1477250801
Name:LARRIMORE, DEBORAH E (RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:E
Last Name:LARRIMORE
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 1:412 DODGE HOLLOW RD # 412
Mailing Address - Street 2:
Mailing Address - City:LEMPSTER
Mailing Address - State:NH
Mailing Address - Zip Code:03605-3426
Mailing Address - Country:US
Mailing Address - Phone:603-443-1967
Mailing Address - Fax:
Practice Address - Street 1:412 DODGE HOLLOW RD # 412
Practice Address - Street 2:
Practice Address - City:LEMPSTER
Practice Address - State:NH
Practice Address - Zip Code:03605-3426
Practice Address - Country:US
Practice Address - Phone:603-443-1967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH082917-21163WG0000X, 163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice