Latham, Vicki Legrand
Latham, Vicki Legrand is an individual health care provider with primary practice located at 3200 Northline Ave. Ste 130, Greensboro NC 27408-7600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Latham, Vicki Legrand can be contacted via phone (336) 286-6565.Contact Information
Primary practice address
3200 Northline Ave. Ste 130
Greensboro NC 27408-7600
Phone: (336) 286-6565
Fax: (336) 286-6566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 165 | North Carolina |
| Other Service Providers / Midwife | 176B00000X | 165 | North Carolina |
Profile Details
| NPI number | 1114099041 |
|---|---|
| LBN Legal business name | Latham, Vicki Legrand |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Dec 10th, 2012 - about 14 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 | 1114099041 | NPPES |
| North Carolina | Other | 7821 | ACNM CERTIFICATE NUMBER |
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