Individual
TAMERA LARSEN
Active
Individual
TAMERA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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
06/01/2026
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