IndividualActive
Melissa Larson, LPN
NPI 1114299500 · Licensed Practical Nurse · Suffern, NY
Melissa Larson, LPN is a Licensed Practical Nurse provider in Suffern, NY (NPI 1114299500).
Provider details
- NPI number
- 1114299500
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 307699 (NY)
Practice location
99 Washington Ave
Suffern, NY 10901-6026
Phone: (845) 357-4500
Fax: (845) 357-5039
Street-level locationGet directions
Mailing address
64 Tudor Ln
Pine Bush, NY 12566-5617
Registry dates
- Enumerated
- 2012-02-01
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.