Individual
MRS. ASHLEY OWENS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1025 VERDAE BLVD STE A, GREENVILLE, SC 29607-4032
(864) 242-4683
(864) 240-8104
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23642
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6775
—
SC
Enumeration date
02/17/2020
Last updated
09/10/2024
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