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Mr. Randy Eugene Wenger
Acute Care Nurse Practitioner in Greenville, South Carolina
NPI 1861024481

Randy Eugene Wenger is an Acute Care Nurse Practitioner based in Greenville, SC and is specialized in Acute Care. Randy Eugene Wenger practices in Greenville, SC. The NPI Number for Randy Eugene Wenger is 1861024481 and holds a License No. (South Carolina).

The current practice location address for Randy Eugene Wenger is 701 Grove Rd Fl 5, Greenville, SC and can be reached out via phone at 864-455-1416.

Location: 701 Grove Rd Fl 5, Greenville, SC, 29601-2842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861024481
Provider Name
Randy Eugene Wenger
Credential
Provider Entity Type
Individual
Gender
Male
Address
701 Grove Rd Fl 5, Greenville, SC, 29601-2842
Phone Number
864-455-1416
Fax Number
Provider Enumeration Date
02/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 Grove Rd Fl 5
City
Greenville
State
South Carolina
Zip
29605-4210
Phone Number
864-455-1416
Fax Number
person
Provider Business Mailing Address Details
Address
701 Grove Rd Fl 5
City
Greenville
State
South Carolina
Zip
29605-4210
Phone Number
864-455-1416
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
24202 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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