LARISSA PATILLO
NPI 1083058507
Licensed Practical Nurse in Novi, MI

Active since April 26, 2013
41621 W 11 MILE RD, NOVI, MI 48375(248) 299-0030 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larissa Patillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARISSA PATILLO (NPI 1083058507) is an individual licensed practical nurse in Novi, Michigan, licensed in Michigan (4703110078) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1083058507
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLARISSA PATILLO
Location Address41621 W 11 MILE RDNovi, MI 48375-1804
Mailing Address2780 Sagebrush Circle Apt 101Ann Arbor, MI 48103
Sole ProprietorNo
Enumeration DateApril 26, 2013
NPI 1083058507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MI · 4703110078
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

41621 W 11 MILE RD, Novi, MI 48375

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
41621 W 11 MILE RD
NOVI, MI 48375
Licensed Practical Nurse
41621 W 11 MILE RD
NOVI, MI 48375
Licensed Practical Nurse
41621 W 11 MILE RD
NOVI, MI 48375
Registered Nurse
41621 W 11 MILE RD
NOVI, MI 48375
Licensed Practical Nurse
41621 W 11 MILE RD
NOVI, MI 48375
Technician, Other
41621 W 11 MILE RD
NOVI, MI 48375
Registered Nurse
41621 W 11 MILE RD
NOVI, MI 48375
Licensed Practical Nurse
41621 W 11 MILE RD
NOVI, MI 48375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larissa Patillo's NPI number?

The NPI number for Larissa Patillo is 1083058507. It was assigned to this individual provider in the NPPES registry on April 26, 2013.

Where is Larissa Patillo located?

Larissa Patillo practices at 41621 W 11 Mile Rd, Novi, MI 48375. The listed phone number is (248) 299-0030.

What is Larissa Patillo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Larissa Patillo was last updated on April 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.