Revzina, Larisa M

Revzina, Larisa M is an individual health care provider with primary practice located at 225 San Antonio Rd , Mountain View CA 94040-1209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Revzina, Larisa M can be contacted via phone (650) 948-0804.

Contact Information

Primary practice address
225 San Antonio Rd Mountain View CA 94040-1209
Phone: (650) 948-0804
Fax: (650) 948-3319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN555478 California

Profile Details

NPI number 1730299645
LBN Legal business name Revzina, Larisa M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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