Individual
MS. PAMELA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
PEDIATRIC OUTPATIENT CENTER, 600 MOYE BLVD, GREENVILLE, NC 27858
(252) 744-2335
(252) 744-3811
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
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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