Provider Demographics
NPI:1780809905
Name:LARKIN, MARIA M (RD, LD)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:M
Last Name:LARKIN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 880
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-0880
Mailing Address - Country:US
Mailing Address - Phone:603-969-0017
Mailing Address - Fax:603-868-1007
Practice Address - Street 1:13 JENKINS CT
Practice Address - Street 2:STE 242
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-2324
Practice Address - Country:US
Practice Address - Phone:603-969-0017
Practice Address - Fax:603-868-1007
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH377133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered