Amazing Victory LLC
NPI 1134826712ActiveOrganization· Nurse Practitioner· Fairfield, CT
Nurse Practitioner in Fairfield, Connecticut, registered in NPPES in February 2023. The authorized official on file is Stephanie Larose, APRN, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134826712 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2023 |
| Last updated in NPPES | Feb 14, 2023 |
| Certified by provider | Feb 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
Other Nurse Practitioner providers in Fairfield
- 1770822033
- 1821062175
- 1407849425
- 1194727172
- 1518855352
- 1649026915
- 1457961062
- 1386605939
- 1134045800
- 1346969136
- 1366700239
- 1477315745