MELISSA LARSON LPN
NPI 1114299500
Licensed Practical Nurse in Suffern, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since February 01, 2012

99 WASHINGTON AVE, SUFFERN, NY 10901(845) 357-4500(845) 357-5039 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Melissa Larson Lpn NPPES

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

MELISSA LARSON LPN (NPI 1114299500) is an individual licensed practical nurse in Suffern, New York, licensed in New York (307699) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1114299500

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMELISSA LARSONCredential: LPN

Location Address99 WASHINGTON AVESuffern, NY 10901-6026

Mailing Address64 Tudor LnPine Bush, NY 12566-5617 · (845) 381-7846

Phone(845) 357-4500

Fax(845) 357-5039

Sole ProprietorYes

Enumeration DateFebruary 1, 2012

Last NPPES UpdateJune 6, 2024

NPPES CertifiedJune 6, 2024

✔ NPI 1114299500 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 NY · 307699

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.

99 WASHINGTON AVE, Suffern, NY 10901

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