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Stephanie Lynn Petersen, FNP
Family Nurse Practitioner in Charleston, South Carolina
NPI 1114249810

Stephanie Lynn Petersen is a Family Nurse Practitioner based in Charlotte, SC and is specialized in Family. Stephanie Lynn Petersen practices in Charleston, SC and has the professional credentials of FNP. The NPI Number for Stephanie Lynn Petersen is 1114249810 and holds a License No. AP60633476 (South Carolina).

The current practice location address for Stephanie Lynn Petersen is 171 Ashley Ave, Charleston, SC and can be reached out via phone at 843-792-1414.

Location: 171 Ashley Ave, Charleston, SC, 28275-1461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114249810
Provider Name
Stephanie Lynn Petersen
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
171 Ashley Ave, Charleston, SC, 28275-1461
Phone Number
843-792-1414
Fax Number
Provider Enumeration Date
02/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500672839 05 OR
2038729 05 WA
institution
Provider Business Practice Location Address Details
Address
171 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425-0100
Phone Number
843-792-1414
Fax Number
person
Provider Business Mailing Address Details
Address
171 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425-0100
Phone Number
843-792-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP60633476 (Washington)
Definition
Definition to come...
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