Most Relevant Information
Provider Data
| NPI Number: | 1003815523 |
| Provider Name: | LARIANN S ROSS APRN-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R100155 |
Most Important Dates
| Enumeration Date: | 07/18/2005 |
| Last Updated: | 09/15/2010 |
Provider Practice Location
1061 HARMON AVE
DMC/IMC
FORT STEWART
GA
313145641
Practice Location Phone/Fax
| Phone: | 9124355706 |
| Fax: | 9124355569 |
Provider Mailing Location
1061 HARMON AVE
DMC/IMC
FORT STEWART
GA
313145641
Provider Mailing Phone/Fax
| Phone: | 9124355706 |
| Fax: | 9124355569 |