Wanda W Grainger FNP

NPI 1073684577 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1073684577
Gender Female
Enumeration Date 11/13/2006
Last Updated 10/30/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
LORIS SC, 29569-2807, US
Phone (843) 756-9292
Fax (843) 756-9260
Business Location
PO BOX 3239
FLORENCE SC, 29502-3239, US
Phone (843) 392-9222
Fax (843) 392-1445
Taxonomy Code 363LF0000X
License State South Carolina
License Number 1033
Remove 1073684577 NPI Number

According to our database, Wanda W Grainger FNP NPI is 1073684577, taxonomy code is 363LF0000X and license number is 1033, license state is located at South Carolina. Wanda W Grainger FNP physically located at 3109 Casey St, Loris SC, 29569-2807. NPI Number Wanda W Grainger FNP has the Individual type.

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1073684577 NPI number is provided on an as is basis without warranty of any kind. 1073684577 is maintained by the National Plan & Provider Enumeration System. The contents of Wanda W Grainger FNP are for informational purposes only.