Provider Demographics
NPI:1942805916
Name:LARANCE, KARI LEA (RN, CDCES)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:LEA
Last Name:LARANCE
Suffix:
Gender:F
Credentials:RN, CDCES
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:LEA
Other - Last Name:PARZYCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3936 15TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-5517
Mailing Address - Country:US
Mailing Address - Phone:406-799-1422
Mailing Address - Fax:
Practice Address - Street 1:3936 15TH AVE S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5517
Practice Address - Country:US
Practice Address - Phone:406-799-1422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT16874163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator