Individual
LAURA WILLIAMS CARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004532
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669708095
ME
NC
05
—
1669708095
—
NC
Enumeration date
10/20/2009
Last updated
12/04/2020
Update your record
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