Wardlaw, Clarice Nichole

Wardlaw, Clarice Nichole is an sole proprietor health care provider with primary practice located at 3333 Station House Rd Ste B , Chesapeake VA 23321-2515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wardlaw, Clarice Nichole can be contacted via phone (833) 526-4448.

Contact Information

Primary practice address
3333 Station House Rd Ste B Chesapeake VA 23321-2515
Phone: (833) 526-4448
Fax: (757) 859-0007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024177177 Virginia

Profile Details

NPI number 1972694735
LBN Legal business name Wardlaw, Clarice Nichole
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jan 13th, 2023 - 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 1972694735 NPPES
Texas MEDICAID 175627201
Texas MEDICAID 1972694735
Texas MEDICAID MW0175

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