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Nathalie V Laytham, PA-C

Physician Assistant in Henderson, NC. Individual provider (NPI-1).

NPI number1982115044
StatusActive
Last updated in NPPESApr 18, 2024

Details

NPI
1982115044
Entity type
Individual (NPI-1)
Name
Nathalie V Laytham
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 17, 2017
Certification date
Apr 18, 2024
Last updated
Apr 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant0010-07661NCYes
207Q00000X Family Medicine0010-07661NC

Practice location

381 Ruin Creek Rd
Henderson, NC 27536-2932

Phone 252-430-0666

Mailing address

381 Ruin Creek Rd
Henderson, NC 27536-2932

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