Provider Demographics
NPI:1942583950
Name:LAPLANTE, CLARISSA A (EMT)
Entity Type:Individual
Prefix:
First Name:CLARISSA
Middle Name:A
Last Name:LAPLANTE
Suffix:
Gender:F
Credentials:EMT
Other - Prefix:
Other - First Name:CLARISSA
Other - Middle Name:A
Other - Last Name:LAPLANTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EMT
Mailing Address - Street 1:RR 2 BOX 5066
Mailing Address - Street 2:401 LEAF SHOOTERS DRIVE
Mailing Address - City:NIOBRARA
Mailing Address - State:NE
Mailing Address - Zip Code:68760-8558
Mailing Address - Country:US
Mailing Address - Phone:402-857-2342
Mailing Address - Fax:402-857-2361
Practice Address - Street 1:110 S VISITING EAGLE ST
Practice Address - Street 2:
Practice Address - City:NIOBRARA
Practice Address - State:NE
Practice Address - Zip Code:68760-7201
Practice Address - Country:US
Practice Address - Phone:402-857-2300
Practice Address - Fax:402-857-2315
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10132146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic