Individual
MS. MARTHA L LARSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, ANP-C-
Contact information
Practice address
508 FULTON STREET, DURHAM, NC 27710-0001
(919) 286-0411
(919) 286-6853
Mailing address
102 WILLIAM WHITE CT, CARRBORO, NC 27510-4120
(919) 933-0362
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
081889
NC
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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