Provider Demographics
NPI:1578735759
Name:LARMORE, JUDITH M (RN)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:M
Last Name:LARMORE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:150 TEJAS PL
Mailing Address - Street 2:PO BOX 430
Mailing Address - City:NIPOMO
Mailing Address - State:CA
Mailing Address - Zip Code:93444-9123
Mailing Address - Country:US
Mailing Address - Phone:805-929-3211
Mailing Address - Fax:805-929-6440
Practice Address - Street 1:2515 CAMBRIA STREET
Practice Address - Street 2:SUITE B AND C
Practice Address - City:CAMBRIA
Practice Address - State:CA
Practice Address - Zip Code:93428-3407
Practice Address - Country:US
Practice Address - Phone:805-927-5292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA385882163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse