Whalio Doctors

NPI 1033780739

Christopher Joe La Rose, FNPANPNP

Practitioner Emergency Medicine Physician Gordon, NE

Practice location

Address
300 E 8th St, Gordon, NE 69343-1199
Phone
(308) 282-0401
Mailing address
PO Box 481, Gordon, NE 69343-0481

Registered specialties (2)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 20211016497 (MO)
Primary Care Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP2300X Licence 20211016497 (MO)

Registry record

NPI
1033780739
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jul 2021
Record last updated
8 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.