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Contact Information

TIANA J LARSON, CNM
57 WATER ST
BLUE HILL, ME04614-5231
 Phone: 207-374-3940
 Fax: 207-374-3980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for TIANA J LARSON · (Female)

NPI # 1710232236
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 07/20/2012
Last updated 06/04/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ME License # CNM142001
  • NY License # 001490
  • WA License # AP60401092
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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