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Graziella Costa-stephenson
Family Nurse Practitioner in Clover, South Carolina
NPI 1548765563

Graziella Costa-stephenson is a Family Nurse Practitioner based in Clover, SC and is specialized in Family. Graziella Costa-stephenson practices in Clover, SC. The NPI Number for Graziella Costa-stephenson is 1548765563 and holds a License No. 21840 (South Carolina).

The current practice location address for Graziella Costa-stephenson is 4724 Charlotte Hwy, Clover, SC and can be reached out via phone at 803-831-1911.

Location: 4724 Charlotte Hwy, Clover, SC, 29710-8095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548765563
Provider Name
Graziella Costa-stephenson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4724 Charlotte Hwy, Clover, SC, 29710-8095
Phone Number
803-831-1911
Fax Number
Provider Enumeration Date
03/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5010366 01 NC NC LICENSE
21840 01 SC SC LICENSE
institution
Provider Business Practice Location Address Details
Address
4724 Charlotte Hwy
City
Clover
State
South Carolina
Zip
29710-8095
Phone Number
803-831-1911
Fax Number
person
Provider Business Mailing Address Details
Address
4724 Charlotte Hwy
City
Clover
State
South Carolina
Zip
29710-8095
Phone Number
803-831-1911
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
21840 (South Carolina)
Definition
Definition to come...
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