Provider Demographics
NPI:1790411148
Name:LITTLEFIELD, WILLIAM EDWARD (RN, BSN, CCM)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:LITTLEFIELD
Suffix:
Gender:M
Credentials:RN, BSN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7360 BELLACROFT DR
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-1338
Mailing Address - Country:US
Mailing Address - Phone:910-514-5027
Mailing Address - Fax:877-211-6810
Practice Address - Street 1:7360 BELLACROFT DR
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-1338
Practice Address - Country:US
Practice Address - Phone:910-514-5027
Practice Address - Fax:877-211-6810
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC218361163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management