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Laura B Willard, AGACNP-BC
Gerontology Nurse Practitioner in Spartanburg, South Carolina
NPI 1700314754

Laura B Willard is a Gerontology Nurse Practitioner based in Atlanta, SC and is specialized in Gerontology. Laura B Willard practices in Spartanburg, SC and has the professional credentials of AGACNP-BC. The NPI Number for Laura B Willard is 1700314754 and holds a License No. 21035 (South Carolina).

The current practice location address for Laura B Willard is 101 E Wood St, Spartanburg, SC and can be reached out via phone at 864-560-6000 and via fax at 864-560-4023.

Location: 101 E Wood St, Spartanburg, SC, 30384-7723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700314754
Provider Name
Laura B Willard
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
101 E Wood St, Spartanburg, SC, 30384-7723
Phone Number
864-560-6000
Fax Number
864-560-4023
Provider Enumeration Date
06/02/2017
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCB2373365 01 SC MEDICARE PIN
NP7068 05 SC
SCB2375019 01 SC MEDICARE PIN
SCB2376084 01 SC MEDICARE PIN
SCB237O696 01 SC MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
101 E Wood St
City
Spartanburg
State
South Carolina
Zip
29303-3040
Phone Number
864-560-6000
Fax Number
864-560-4023
person
Provider Business Mailing Address Details
Address
101 E Wood St
City
Spartanburg
State
South Carolina
Zip
29303-3040
Phone Number
864-560-6000
Fax Number
864-560-4023
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
21035 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
21035 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
21035 (South Carolina)
Definition
Definition to come...
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