Mr Ian A Larose, PCNS | |
10 Gove St, East Boston, MA 02128-1920 | |
(617) 569-5800 | |
(617) 568-4780 |
Full Name | Mr Ian A Larose |
---|---|
Gender | Male |
Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
Location | 10 Gove St, East Boston, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336175066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 254990 (Massachusetts) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Ian A Larose, PCNS 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 | Mr Ian A Larose, PCNS 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
Lavera P Kombrink, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Ms. Linda Helen Kasparian, PCNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 |