Heather Church Stavrakas in West Columbia - Nurse Practitioner
Heather Church Stavrakas - NPI 1093986473
Heather Church Stavrakas is a Nurse Practitioner in West Columbia, South Carolina. Heather Church Stavrakas practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Heather Church Stavrakas is 1093986473. The last update date is 2019-07-12.
Heather Church Stavrakas's current location address is 1053 Center Street, West Columbia, South Carolina. You can contact this provider via phone number 8004910909 and fax number 7043848182. The mailing address for Heather Church Stavrakas is 1053 Center Street, West Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Church Stavrakas |
|---|---|
| Address | 1053 Center Street, West Columbia, South Carolina |
| Phone Number | 8004910909 |
| Fax Number | 7043848182 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1093986473 |
|---|---|
| Provider Enumeration Date | 2008-03-13 |
| Last Updated Date | 2019-07-12 |
Provider Mailing Address Detail
| Address | 1053 Center Street |
|---|---|
| City | West Columbia |
| State | South Carolina (SC) |
| Post Code | 29169 |
| Phone Number | 8004910909 |
| Fax Number | 7043848182 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 138671 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identification code assigned to Heather Church Stavrakas by the Centers for Medicare & Medicaid Services?
The Heather Church Stavrakas has been issued the NPI (National Provider Identifier) 1093986473. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Heather Church Stavrakas's facilities are geographically located?
The facilities of Heather Church Stavrakas are physically situated at the following location: 1053 Center Street, West Columbia, SC, 29169.
What is the Heather Church Stavrakas's specialty and taxonomy code?
The Heather Church Stavrakas's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093986473 to Heather Church Stavrakas?
The Centers for Medicare & Medicaid Services originally issued the 1093986473 to Heather Church Stavrakas on 2008-03-13.
As of what date were the details pertaining to Heather Church Stavrakas last refreshed?
The information related to the Heather Church Stavrakas, including its address, specialty, and other relevant details, was last updated on 2019-07-12.
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