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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARISA ANATOLYEVNA DYAKOVA, FNP

Active Sole Proprietor

LARISA ANATOLYEVNA DYAKOVA, FNP is a Acute Care Nurse Practitioner healthcare provider located in ARTESIA, New Mexico. NPI 1912604539 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · ARTESIA, NM

Registration Details

NPI Number
1912604539
Provider Type
Individual
Gender
Female
NPI Issued
Feb 14, 2023 (3.4572477037891 yrs)
Last Updated
Nov 18, 2024
Licenses
0032705 (OH)
79627 (NM)
Sole Proprietor
Yes

Practice Information

Address
702 N 13TH ST
ARTESIA, NM, 882101199
Browse NM providers · Browse ZIP 88210
Phone
5757483333
Fax
5757368139
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in ARTESIA, NM

Name Credential NPI
JULIE PHELPS CNP 1053783654
AMY LYNN WISHARD AGNP 1528603602
DR. JENNIFER ANNE TUPPER DNP, APRN, FNP-BC 1467092460
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.