Wybenga, Laurie Kristen
Wybenga, Laurie Kristen is an individual health care provider with primary practice located at 222 Herlong Ave S , Rock Hill SC 29732-1158. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wybenga, Laurie Kristen can be contacted via phone (803) 324-3500.Contact Information
Primary practice address
222 Herlong Ave S
Rock Hill SC 29732-1158
Phone: (803) 324-3500
Fax: (803) 327-8505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP127899 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RX3228 | South Carolina |
Profile Details
NPI number | 1154512382 |
---|---|
LBN Legal business name | Wybenga, Laurie Kristen |
Credentials | FNP NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2007 |
Last updated | Sep 26th, 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 | 1154512382 | NPPES |
South Carolina | MEDICAID | NP1237 | |
South Carolina | MEDICAID | 346508001 |
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