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Mrs. Suzanne H Deckelbaum, NP
Nurse Practitioner in Myrtle Beach, South Carolina
NPI 1154359412

Suzanne H Deckelbaum is a Nurse Practitioner based in Myrtle Beach, SC. Suzanne H Deckelbaum practices in Myrtle Beach, SC and has the professional credentials of NP. The NPI Number for Suzanne H Deckelbaum is 1154359412 and holds a License No. 1714 (South Carolina).

The current practice location address for Suzanne H Deckelbaum is 8170 Rourk St Ste 100, Myrtle Beach, SC and can be reached out via phone at 843-449-0453.

Location: 8170 Rourk St Ste 100, Myrtle Beach, SC, 29577-6302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154359412
Provider Name
Suzanne H Deckelbaum
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8170 Rourk St Ste 100, Myrtle Beach, SC, 29577-6302
Phone Number
843-449-0453
Fax Number
Provider Enumeration Date
06/28/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1714 01 SC SC MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
8170 Rourk St Ste 100
City
Myrtle Beach
State
South Carolina
Zip
29572-4127
Phone Number
843-449-0453
Fax Number
person
Provider Business Mailing Address Details
Address
8170 Rourk St Ste 100
City
Myrtle Beach
State
South Carolina
Zip
29572-4127
Phone Number
843-449-0453
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1714 (South Carolina)
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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