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Contact Information

ANDREA L LAROSA, FNP
44 SOUTH MAIN STREET
BOX 2000
RANDOLPH, VT05060
 Phone: 802-728-7000
 Fax: 802-728-2613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANDREA L LAROSA · (Female)

NPI # 1770840829
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/13/2012
Last updated 04/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 1010084543
  • VT Medicaid 047Z301
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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