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Wal-mart Stores East, Lp
Nurse Practitioner in Sumter, South Carolina
NPI 1114332665

Wal-mart Stores East, Lp is a Nurse Practitioner based in Bentonville, SC. Wal-mart Stores East, Lp practices in Sumter, SC. The NPI Number for Wal-mart Stores East, Lp is 1114332665 and holds a License No. (South Carolina).

The current practice location address for Wal-mart Stores East, Lp is 1283 Broad St, Sumter, SC and can be reached out via phone at 803-905-5528 and via fax at 803-905-5530. You can also correspond with Wal-mart Stores East, Lp through the mailing address at 702 SW 8TH ST, BENTONVILLE, AR - 72716-0445 (mailing address contact number: 479-204-8550).

Location: 1283 Broad St, Sumter, SC, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114332665
Provider Name
Wal-mart Stores East, Lp
Credential
Provider Entity Type
Organization
Address
1283 Broad St, Sumter, SC, 72716-0445
Phone Number
803-905-5528
Fax Number
803-905-5530
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D953 01 SC MEDICARE PTAN
GP6498 05 SC
institution
Provider Business Practice Location Address Details
Address
1283 Broad St
City
Sumter
State
South Carolina
Zip
29150-1973
Phone Number
803-905-5528
Fax Number
803-905-5530
person
Provider Business Mailing Address Details
Address
1283 Broad St
City
Sumter
State
South Carolina
Zip
29150-1973
Phone Number
803-905-5528
Fax Number
803-905-5530
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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