Phetxumphou, Heather
Phetxumphou, Heather is an individual health care provider with primary practice located at 1100 E Wendover Ave , Greensboro NC 27405-6713. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Phetxumphou, Heather can be contacted via phone (336) 641-6852.Contact Information
Primary practice address
1100 E Wendover Ave
Greensboro NC 27405-6713
Phone: (336) 641-6852
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 253864 | North Carolina |
Profile Details
| NPI number | 1851838023 |
|---|---|
| LBN Legal business name | Phetxumphou, Heather |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2017 |
| Last updated | Apr 28th, 2017 - about 9 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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