Individual provider · Type 1 NPI

Laura B. Willard, AGACNP-BC

Gerontology Nurse Practitioner · Spartanburg, SC

NPI number 1700314754 Active

Practice location

101 E Wood St
Spartanburg, SC 29303-3040

Fax (864) 560-4023

Mailing address

PO Box 277723
Atlanta, GA 30384-7723

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X21035 (SC)
Acute Care Nurse Practitioner 363LA2100X21035 (SC)
Gerontology Nurse Practitioner Primary 363LG0600X21035 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1700314754

Laura B. Willard, AGACNP-BC's National Provider Identifier is 1700314754, issued on Jun 2, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Spartanburg, SC. The record was last updated on Nov 7, 2024.