Provider Demographics
NPI:1982588596
Name:LARRIMORE, CHARLENE FAYE (RN)
Entity type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:FAYE
Last Name:LARRIMORE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:12 HERITAGE LN
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-1504
Mailing Address - Country:US
Mailing Address - Phone:302-230-1386
Mailing Address - Fax:302-230-1386
Practice Address - Street 1:424 SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1462
Practice Address - Country:US
Practice Address - Phone:302-645-3728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0040868163WP1700X
DELG-0013324363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WP1700XNursing Service ProvidersRegistered NursePerinatal