Provider Demographics
NPI:1922595974
Name:LARMOUR, DANIEL JOHN (CRNP)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOHN
Last Name:LARMOUR
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 CRESTVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-1736
Mailing Address - Country:US
Mailing Address - Phone:610-517-5626
Mailing Address - Fax:
Practice Address - Street 1:317 CRESTVIEW CIR
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-1736
Practice Address - Country:US
Practice Address - Phone:610-517-5626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018516363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care