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Marisa Vella Gentry, NP-C
Primary Care Nurse Practitioner in Columbia, South Carolina
NPI 1518374586

Marisa Vella Gentry is a Primary Care Nurse Practitioner based in West Columbia, SC and is specialized in Primary Care. Marisa Vella Gentry practices in Columbia, SC and has the professional credentials of NP-C. The NPI Number for Marisa Vella Gentry is 1518374586 and holds a License No. 18959 (South Carolina).

The current practice location address for Marisa Vella Gentry is 7033 Saint Andrews Rd Ste 305, Columbia, SC and can be reached out via phone at 803-936-7480 and via fax at 803-936-7481. You can also correspond with Marisa Vella Gentry through the mailing address at PO BOX 6069, WEST COLUMBIA, SC - 29171-6069 (mailing address contact number: ).

Location: 7033 Saint Andrews Rd Ste 305, Columbia, SC, 29171-6069
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Provider Profile Details
NPI Number
1518374586
Provider Name
Marisa Vella Gentry
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
7033 Saint Andrews Rd Ste 305, Columbia, SC, 29171-6069
Phone Number
803-936-7480
Fax Number
803-936-7481
Provider Enumeration Date
07/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP4359 05 SC
institution
Provider Business Practice Location Address Details
Address
7033 Saint Andrews Rd Ste 305
City
State
Zip
29212-1181
Phone Number
803-936-7480
Fax Number
803-936-7481
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Provider Business Mailing Address Details
Address
Po Box 6069
City
State
Zip
29171-6069
Phone Number
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
18959 (South Carolina)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
18959 (South Carolina)
Definition
Definition to come...
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