Stephanie Peters Dehart CRNA

NPI 1407036957 - Registered Nurse - 163W00000X

NPI Details
NPI 1407036957
Gender Female
Enumeration Date 11/13/2007
Last Updated 11/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4615 OLEANDER DR
MYRTLE BEACH SC, 29577-5741, US
Phone (843) 449-9559
Fax (843) 497-6601
Business Location
4615 OLEANDER DR
MYRTLE BEACH SC, 29577-5741, US
Phone (843) 449-9559
Fax (843) 497-6601
Toxanomy
Taxonomy Code 163W00000X
License State South Carolina
License Number 2431
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According to our database, Stephanie Peters Dehart CRNA NPI is 1407036957, taxonomy code is 163W00000X and license number is 2431, license state is located at South Carolina. Stephanie Peters Dehart CRNA physically located at 4615 Oleander Dr, Myrtle Beach SC, 29577-5741. NPI Number Stephanie Peters Dehart CRNA has the Individual type.

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1407036957 NPI number is provided on an as is basis without warranty of any kind. 1407036957 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Peters Dehart CRNA are for informational purposes only.