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Individual
MS. PAMELA LARSEN
Active
Individual
MS. PAMELA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200754
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500003550
RAILROAD MEDICARE
NC
05
—
7000225
—
NC
Enumeration date
01/05/2006
Last updated
03/25/2009
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