Wilmoth, Laurie A
Wilmoth, Laurie A is an individual health care provider with primary practice located at 1040 Main St , Danville VA 24541-1816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilmoth, Laurie A can be contacted via phone (434) 792-1433.Contact Information
Primary practice address
1040 Main St
Danville VA 24541-1816
Phone: (434) 792-1433
Fax: (434) 797-2807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024055870 | Virginia |
Profile Details
| NPI number | 1902850902 |
|---|---|
| LBN Legal business name | Wilmoth, Laurie A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Nov 9th, 2010 - about 15 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 | 1902850902 | NPPES |
| Virginia | MEDICAID | 010115477 |
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