Faircloth, Wanda Marie
Faircloth, Wanda Marie is an individual health care provider with primary practice located at 725 Oakridge Blvd Ste B2 , Lumberton NC 28358-2351. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Faircloth, Wanda Marie can be contacted via phone (910) 671-0052.Contact Information
Primary practice address
725 Oakridge Blvd Ste B2
Lumberton NC 28358-2351
Phone: (910) 671-0052
Fax: (910) 671-9157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0050-02517 | North Carolina |
Profile Details
| NPI number | 1184789026 |
|---|---|
| LBN Legal business name | Faircloth, Wanda Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jan 24th, 2024 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184789026 | NPPES |
| North Carolina | Other | 0050-02517 | LICENSE |
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