Willard, Laura B

Willard, Laura B is an individual health care provider with primary practice located at 1083 Boiling Springs Rd , Spartanburg SC 29303-2248. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Willard, Laura B can be contacted via phone (864) 583-8647.

Contact Information

Primary practice address
1083 Boiling Springs Rd Spartanburg SC 29303-2248
Phone: (864) 583-8647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 21035 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 21035 South Carolina

Profile Details

NPI number 1700314754
LBN Legal business name Willard, Laura B
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2017
Last updated Jul 21st, 2022 - about 4 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 1700314754 NPPES
South Carolina Other 21035 SC MEDICAL LICENSE

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