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Judith Darlene Larkin

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9280 W Sunset Rd Ste 236, Las Vegas, NV 89148-4861

PECOS Enrollment

This provider is enrolled in PECOS as JUDITH LARKIN.

Based on the most recent information from CMS, provider Judith Darlene Larkin is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1306063193
Provider Type
Individual
Full Name
Larkin, Judith Darlene
Credential
APN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/20/2007
Last Updated
10/10/2019

Contact Information

Practice Location

9280 W Sunset Rd Ste 236, Las Vegas, NV 89148-4861

(702) 732-2600

(702) 732-2622

Mailing Location

PO Box 370231, Las Vegas, NV 89137-0231

(702) 732-2600

(702) 732-2622

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 441 Nevada

Provider Identifiers

ID	Description	Issuer
ID 1306063193	Description Medicaid	Issuer Unlisted Nevada

Judith Darlene Larkin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Loggins, Mistie

Quien, Kimberly Blythe Alanis

Jimenez, Jennica

Dela Cruz, Lia Donna Velasquez

Adams, Helena

Hermes, Brandi