LARISA KING

GREENSBORO, NC
NPI1699314971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  5012717)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NC  178286)
Enumeration Date2020-01-03
Last Update Date2020-08-31
Business Address
LARISA KING
1901 ADAMS FARM PKWY
GREENSBORO, NC 27407-6338
Phone number: 336-722-7266
Mailing Address
LARISA KING
713 S MARSHALL ST
WINSTON SALEM, NC 27101-5808
Phone number: 336-722-7266