Larson, Ashley Owens

Larson, Ashley Owens is an individual health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605-4210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Larson, Ashley Owens can be contacted via phone (864) 455-4411.

Contact Information

Primary practice address
701 Grove Rd Fl 5 Greenville SC 29605-4210
Fax: (455) 455-4480
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 23642 South Carolina

Profile Details

NPI number 1235762410
LBN Legal business name Larson, Ashley Owens
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2020
Last updated May 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235762410 NPPES
South Carolina MEDICAID NP6775

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