Willard, Laura B
Willard, Laura B is an individual health care provider with primary practice located at 1083 Boiling Springs Rd , Spartanburg SC 29303-2248. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Willard, Laura B can be contacted via phone (864) 583-8647.Contact Information
Primary practice address
1083 Boiling Springs Rd
Spartanburg SC 29303-2248
Phone: (864) 583-8647
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 21035 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 21035 | South Carolina |
Profile Details
NPI number | 1700314754 |
---|---|
LBN Legal business name | Willard, Laura B |
Credentials | AGACNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2017 |
Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700314754 | NPPES |
South Carolina | Other | 21035 | SC MEDICAL LICENSE |
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