Staci D Burrell in Rock Hill - Family

Staci D Burrell - NPI 1114953106

Staci D Burrell is a Family in Rock Hill, South Carolina. Staci D Burrell practices all healthcare services and medical treatments related to Family. The NPI Number for Staci D Burrell is 1114953106. The last update date is 2014-08-28.

Staci D Burrell's current location address is 101 Sedgewood Dr, Rock Hill, South Carolina. You can contact this provider via phone number 8033289300 and fax number 8033272179. The mailing address for Staci D Burrell is 101 Sedgewood Dr, Rock Hill, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Staci D Burrell
Address 101 Sedgewood Dr, Rock Hill, South Carolina
Phone Number 8033289300
Fax Number 8033272179
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1114953106
Provider Enumeration Date 2006-06-23
Last Updated Date 2014-08-28

Provider Mailing Address Detail

Address 101 Sedgewood Dr
City Rock Hill
State South Carolina (SC)
Post Code 297322315
Phone Number 8033289300
Fax Number 8033272179

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 1143
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Staci D Burrell

What is the Staci D Burrell's unique identification number?

The Staci D Burrell has been assigned the NPI (National Provider Identifier) Number 1114953106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Staci D Burrell's facilities are situated?

The facilities of Staci D Burrell are physically located at the following address: 101 Sedgewood Dr, Rock Hill, SC, 297322315.

What is Staci D Burrell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Staci D Burrell's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date did the Staci D Burrell receive its 1114953106 assignment from the Centers for Medicare & Medicaid Services?

The Staci D Burrell was assigned its 1114953106 by the Centers for Medicare & Medicaid Services on 2006-06-23.

When was the information related to Staci D Burrell most recently updated or refreshed?

The details pertaining to the Staci D Burrell, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-28.

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