Williams, Pandora

Williams, Pandora is an individual health care provider with primary practice located at 4880 Wynn Rd , Las Vegas NV 89103-5406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williams, Pandora can be contacted via phone (702) 871-5005.

Contact Information

Primary practice address
4880 Wynn Rd Las Vegas NV 89103-5406
Phone: (702) 871-5005
Fax: (702) 871-1341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1613 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1665 Nevada

Profile Details

NPI number 1093787210
LBN Legal business name Williams, Pandora
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093787210 NPPES
Arizona MEDICAID 181032
Arizona MEDICAID 1093787210

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