Individual
LARISSA DOEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1911 FALLS VALLEY DR STE 105, RALEIGH, NC 27615-2496
(919) 249-4600
Mailing address
108 CORNWALLIS DR, MEBANE, NC 27302-2008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
280240
NC
363L00000X
Nurse Practitioner
Primary
5019770
NC
Other
Enumeration date
10/18/2023
Last updated
03/14/2024
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