NPI 1396594263

Andrea Marie Larocque, PAC

Practitioner Physician Assistant Minot Afb, ND

Practice location

Address: 194 Missile Ave, Minot Afb, ND 58705-5003
Phone: (701) 723-5633
Mailing address: 10 Missile Ave, Minot, ND 58705-5003

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1396594263
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2024
Record last updated: 26 Sep 2025

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.