Individual
ELISABETH ASHLEY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(336) 540-2000
Mailing address
624 WALKER AVE UNIT H, GREENSBORO, NC 27401-2359
(804) 350-5020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
273274
NC
363L00000X
Nurse Practitioner
Primary
LARSMKY6N8
NC
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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