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Mary Detoma, FNP
Nurse Practitioner in Charleston, South Carolina
NPI 1225143761

Mary Detoma is a Nurse Practitioner based in Charlotte, SC. Mary Detoma practices in Charleston, SC and has the professional credentials of FNP. The NPI Number for Mary Detoma is 1225143761 and holds a License No. F245 (South Carolina).

The current practice location address for Mary Detoma 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
1225143761
Provider Name
Mary Detoma
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
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0226 05 SC
institution
Provider Business Practice Location Address Details
Address
171 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425-0001
Phone Number
843-792-1414
Fax Number
person
Provider Business Mailing Address Details
Address
171 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425-0001
Phone Number
843-792-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
F245 (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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