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Amanda T Haltiwanger, FNP
Family Nurse Practitioner in Prosperity, South Carolina
NPI 1649432477

Amanda T Haltiwanger is a Family Nurse Practitioner based in Prosperity, SC and is specialized in Family. Amanda T Haltiwanger practices in Prosperity, SC and has the professional credentials of FNP. The NPI Number for Amanda T Haltiwanger is 1649432477 and holds a License No. APRN3585 (South Carolina).

The current practice location address for Amanda T Haltiwanger is 600 N Wheeler Ave, Prosperity, SC and can be reached out via phone at 803-364-4852 and via fax at 803-364-2014.

Location: 600 N Wheeler Ave, Prosperity, SC, 29127-0630
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Provider Profile Details
NPI Number
1649432477
Provider Name
Amanda T Haltiwanger
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
600 N Wheeler Ave, Prosperity, SC, 29127-0630
Phone Number
803-364-4852
Fax Number
803-364-2014
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AA27983093 01 SC MEDICARE PTAN
NP1242 05 SC
institution
Provider Business Practice Location Address Details
Address
600 N Wheeler Ave
City
State
Zip
29127-8400
Phone Number
803-364-4852
Fax Number
803-364-2014
person
Provider Business Mailing Address Details
Address
600 N Wheeler Ave
City
State
Zip
29127-8400
Phone Number
803-364-4852
Fax Number
803-364-2014
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN3585 (South Carolina)
Definition
Definition to come...
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