Basic Information
| Provider Information | |||||||||
| NPI: | 1407393804 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LARIMORE | ||||||||
| FirstName: | AMBER | ||||||||
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| Credential: | R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24769 RIVERS EDGE RD | ||||||||
| Address2: | |||||||||
| City: | MILLSBORO | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199667214 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3022225679 | ||||||||
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| Practice Location | |||||||||
| Address1: | 31 HOSIER ST | ||||||||
| Address2: | |||||||||
| City: | SELBYVILLE | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199759300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3024361000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2017 | ||||||||
| LastUpdateDate: | 07/29/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | R225792 | MD | N | Hospitals | General Acute Care Hospital | 163WS0200X | L1-0051011 | DE | Y | Nursing Service Providers | Registered Nurse | School |
No ID Information.