person
Ms. Mary Regina Dortenzo, RN-ANP
Adult Health Nurse Practitioner in Aiken, South Carolina
NPI 1215105085

Mary Regina Dortenzo is an Adult Health Nurse Practitioner based in Atlanta, SC and is specialized in Adult Health. Mary Regina Dortenzo practices in Aiken, SC and has the professional credentials of RN-ANP. The NPI Number for Mary Regina Dortenzo is 1215105085 and holds a License No. 4097 (South Carolina).

The current practice location address for Mary Regina Dortenzo is 216 Edgefield Ave Nw, Aiken, SC and can be reached out via phone at 803-648-4224 and via fax at 803-641-7600. You can also correspond with Mary Regina Dortenzo through the mailing address at 2030 POWERS FERRY RD SE, ATLANTA, GA - 30339-5016 (mailing address contact number: 803-648-4224).

Location: 216 Edgefield Ave Nw, Aiken, SC, 30339-5016
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Provider Profile Details
NPI Number
1215105085
Provider Name
Mary Regina Dortenzo
Credential
RN-ANP
Provider Entity Type
Individual
Gender
Female
Address
216 Edgefield Ave Nw, Aiken, SC, 30339-5016
Phone Number
803-648-4224
Fax Number
803-641-7600
Provider Enumeration Date
02/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1564 05 SC
institution
Provider Business Practice Location Address Details
Address
216 Edgefield Ave Nw
City
State
Zip
29801-3910
Phone Number
803-648-4224
Fax Number
803-641-7600
person
Provider Business Mailing Address Details
Address
2030 Powers Ferry Rd Se
City
State
Zip
30339-5016
Phone Number
803-648-4224
Fax Number
803-641-7600
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
4097 (South Carolina)
Definition
Definition to come...
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