Larisa King
Nurse Practitioner, Psych/Mental Health in Greensboro, NC. Individual provider (NPI-1).
NPI number1699314971
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1699314971
- Entity type
- Individual (NPI-1)
- Name
- Larisa King
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2020
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 5012717 | NC | Yes |
| 163W00000X | Registered Nurse | 178286 | NC |
Practice location
1901 Adams Farm PkwyGreensboro, NC 27407-6338
Phone 336-722-7266 · Fax 336-201-0538
Mailing address
713 S Marshall StWinston Salem, NC 27101-5808
Phone 336-722-7266 · Fax 336-201-0538
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All 80 Psychiatric/Mental Health Nurse Practitioner providers in Greensboro · All 11,475 providers in Greensboro
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