Latham, Vicki Legrand

Latham, Vicki Legrand is an individual health care provider with primary practice located at 3200 Northline Ave. Ste 130, Greensboro NC 27408-7600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Latham, Vicki Legrand can be contacted via phone (336) 286-6565.

Contact Information

Primary practice address
3200 Northline Ave. Ste 130 Greensboro NC 27408-7600
Fax: (336) 286-6566
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 165 North Carolina
Other Service Providers / Midwife 176B00000X 165 North Carolina

Profile Details

NPI number 1114099041
LBN Legal business name Latham, Vicki Legrand
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Dec 10th, 2012 - about 12 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 1114099041 NPPES
North Carolina Other 7821 ACNM CERTIFICATE NUMBER

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