Larsen, Pamela

Larsen, Pamela is an individual health care provider with primary practice located at Pediatric Outpatient Center 600 Moye Blvd, Greenville NC 27858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Larsen, Pamela can be contacted via phone (252) 744-2335.

Contact Information

Primary practice address
Pediatric Outpatient Center 600 Moye Blvd Greenville NC 27858
Phone: (252) 744-2335
Fax: (252) 744-3811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 200754 North Carolina

Profile Details

NPI number 1750369195
LBN Legal business name Larsen, Pamela
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 25th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750369195 NPPES
North Carolina MEDICAID 7000225
North Carolina Other 500003550

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