Individual
TAMERA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 639-3484
Mailing address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 639-3484
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001191074
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024173452
VA
Other
Enumeration date
01/06/2012
Last updated
05/29/2019
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