Provider Demographics
NPI:1427499698
Name:LAROCQUE, PAMELA J (NP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:LAROCQUE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1 ESSEX CENTER DR
Mailing Address - Street 2:LAHEY NORTHSHORE
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2901
Mailing Address - Country:US
Mailing Address - Phone:978-538-4674
Mailing Address - Fax:978-538-4712
Practice Address - Street 1:330 BORTHWICK AVE STE 308
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7112
Practice Address - Country:US
Practice Address - Phone:603-431-5242
Practice Address - Fax:603-431-5091
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2020-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2285106363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily