Williams, Mirenda Latisa

Williams, Mirenda Latisa is an individual health care provider with primary practice located at 2365 Springs Rd Ne , Hickory NC 28601-3067. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Williams, Mirenda Latisa can be contacted via phone (828) 325-0950.

Contact Information

Primary practice address
2365 Springs Rd Ne Hickory NC 28601-3067
Phone: (828) 325-0950
Fax: (828) 325-0248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5007484 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 5007484 North Carolina

Profile Details

NPI number 1801289368
LBN Legal business name Williams, Mirenda Latisa
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2015
Last updated Mar 9th, 2015 - about 10 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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