Mary Elisheva Wilchanovsky in Charleston - Nurse Practitioner

Mary Elisheva Wilchanovsky - NPI 1164423695

Mary Elisheva Wilchanovsky is a Nurse Practitioner in Charleston, South Carolina. Mary Elisheva Wilchanovsky practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Elisheva Wilchanovsky is 1164423695. The last update date is 2007-07-08.

Mary Elisheva Wilchanovsky's current location address is 4050 Bridge View Dr, Charleston, South Carolina. You can contact this provider via phone number 8437463800. The mailing address for Mary Elisheva Wilchanovsky is 4050 Bridge View Dr, Charleston, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Elisheva Wilchanovsky
Address 4050 Bridge View Dr, Charleston, South Carolina
Phone Number 8437463800
Fax Number
Sole Proprietor X
Credentials APRN, WHNP

NPI Number Detail

NPI Number 1164423695
Provider Enumeration Date 2005-08-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4050 Bridge View Dr
City Charleston
State South Carolina (SC)
Post Code 294057488
Phone Number 8437463800
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No WH 870
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
WH 870 SC APRN LICENSE NUMBER

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FAQs about Mary Elisheva Wilchanovsky

What is the Mary Elisheva Wilchanovsky's unique identification number?

The Mary Elisheva Wilchanovsky has been assigned the NPI (National Provider Identifier) Number 1164423695 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Mary Elisheva Wilchanovsky is physically located?

The Mary Elisheva Wilchanovsky is physically situated at the following address: 4050 Bridge View Dr, Charleston, SC, 294057488.

What is Mary Elisheva Wilchanovsky's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mary Elisheva Wilchanovsky is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1164423695 to Mary Elisheva Wilchanovsky?

The Centers for Medicare & Medicaid Services originally issued the 1164423695 to Mary Elisheva Wilchanovsky on 2005-08-09.

As of what date were the details related to Mary Elisheva Wilchanovsky most recently updated or revised?

The information pertaining to Mary Elisheva Wilchanovsky, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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