Larry Dale Germain
Nurse Practitioner - Adult Health
1830 Eagle Crest Way Clallam Bay Corrections Center
Clallum Bay
, Washington 98326-9723
Larry Dale Germain
Nurse Practitioner - Adult Health
1830 Eagle Crest Way Clallam Bay Corrections Center
Clallum Bay
, Washington 98326-9723
(360) 681-0943
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Larry Dale Germain
- Po Box 2132
- Sequim, WA
- Zip : 98382
- Phone : (360) 681-0943
Second Address
- Larry Dale Germain
- 1830 Eagle Crest Way Clallam Bay Corrections Center
- Clallum Bay, WA
- Zip : 98326-9723
- Fax : (360) 963-3287
- Phone : (360) 963-3237
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | AP30005570 | WA |
National Provider Identifier
| NPI | 1013037746 |
|---|---|
| Provider Name | Larry Dale Germain |
| First Address | Sequim, WA 98382 |
| Second Address | Clallum Bay, WA 98326-9723 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.