Individual
LARISA PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024185158
VA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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