Apollo, Lydia B

Apollo, Lydia B is an individual health care provider with primary practice located at 2053 Valleygate Dr Ste 201 , Fayetteville NC 28304-3983. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Apollo, Lydia B can be contacted via phone (910) 484-9020.

Contact Information

Primary practice address
2053 Valleygate Dr Ste 201 Fayetteville NC 28304-3983
Phone: (910) 484-9020
Fax: (910) 484-9012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13054 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 441 North Carolina

Profile Details

NPI number 1093945115
LBN Legal business name Apollo, Lydia B
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Jan 24th, 2024 - about 11 months 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 1093945115 NPPES
North Carolina MEDICAID 7002133

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