Williams, Pandora
Williams, Pandora is an individual health care provider with primary practice located at 4880 Wynn Rd , Las Vegas NV 89103-5406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williams, Pandora can be contacted via phone (702) 871-5005.Contact Information
Primary practice address
4880 Wynn Rd
Las Vegas NV 89103-5406
Phone: (702) 871-5005
Fax: (702) 871-1341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1613 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1665 | Nevada |
Profile Details
| NPI number | 1093787210 |
|---|---|
| LBN Legal business name | Williams, Pandora |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093787210 | NPPES |
| Arizona | MEDICAID | 181032 | |
| Arizona | MEDICAID | 1093787210 |
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