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Wal-mart Stores East, Lp
Nurse Practitioner in Camden, South Carolina
NPI 1235546482

Wal-mart Stores East, Lp is a Nurse Practitioner based in Bentonville, SC. Wal-mart Stores East, Lp practices in Camden, SC. The NPI Number for Wal-mart Stores East, Lp is 1235546482 and holds a License No. (South Carolina).

The current practice location address for Wal-mart Stores East, Lp is 2240 W Dekalb St, Camden, SC and can be reached out via phone at 803-900-6028 and via fax at 803-425-7793.

Location: 2240 W Dekalb St, Camden, SC, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235546482
Provider Name
Wal-mart Stores East, Lp
Credential
Provider Entity Type
Organization
Address
2240 W Dekalb St, Camden, SC, 72716-0445
Phone Number
803-900-6028
Fax Number
803-425-7793
Provider Enumeration Date
07/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D953 01 SC MEDICARE PTAN
GP6566 05 SC
institution
Provider Business Practice Location Address Details
Address
2240 W Dekalb St
City
Camden
State
South Carolina
Zip
29020-2069
Phone Number
803-900-6028
Fax Number
803-425-7793
person
Provider Business Mailing Address Details
Address
2240 W Dekalb St
City
Camden
State
South Carolina
Zip
29020-2069
Phone Number
803-900-6028
Fax Number
803-425-7793
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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