MRS. CFNP Sharon Lynn W Shealy, NPI 1245213321
Family Nurse Practitioner in Varnville, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1245213321
NPI Entity Type Individual
Provider Name MRS. CFNP Sharon Lynn W Shealy
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1000 Pine Street, Varnville, SC, US
Provider Mailing Address Po Box 969, 1000 Pine Street, Varnville, SC, US, 299440969
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 1562
License State SC
Description Definition to come...

Business Address

MRS. CFNP Sharon Lynn W Shealy
1000 Pine Street

Varnville, SC, US

Phone: 803-943-5228
Fax: 803-943-4591

Mailing Address

MRS. CFNP Sharon Lynn W Shealy
Po Box 969
1000 Pine Street
Varnville, SC, US
ZIP 299440969
Phone: 803-943-5228
Fax: 803-943-4591

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
GP0365 SC MEDICAID 05
57-6000094 SC FEDERAL TAX ID 01
570669239 SC FEDERAL TAX ID # 01
RHC013 SC MEDICAID 05

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