person
Wanda W Grainger, FNP
Family Nurse Practitioner in Loris, South Carolina
NPI 1073684577

Wanda W Grainger is a Family Nurse Practitioner based in Florence, SC and is specialized in Family. Wanda W Grainger practices in Loris, SC and has the professional credentials of FNP. The NPI Number for Wanda W Grainger is 1073684577 and holds a License No. 1033 (South Carolina).

The current practice location address for Wanda W Grainger is 3109 Casey St, Loris, SC and can be reached out via phone at 843-756-9292 and via fax at 843-756-9260.

Location: 3109 Casey St, Loris, SC, 29502-3239
person
Provider Profile Details
NPI Number
1073684577
Provider Name
Wanda W Grainger
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3109 Casey St, Loris, SC, 29502-3239
Phone Number
843-756-9292
Fax Number
843-756-9260
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0792 05 SC
AA58658552 01 SC MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3109 Casey St
City
State
Zip
29569-2807
Phone Number
843-756-9292
Fax Number
843-756-9260
person
Provider Business Mailing Address Details
Address
3109 Casey St
City
State
Zip
29569-2807
Phone Number
843-756-9292
Fax Number
843-756-9260
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1033 (South Carolina)
Definition
Definition to come...
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