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Wal-mart Stores East, Lp
Nurse Practitioner in North Augusta, South Carolina
NPI 1922415165

Wal-mart Stores East, Lp is a Nurse Practitioner based in Bentonville, SC. Wal-mart Stores East, Lp practices in North Augusta, SC. The NPI Number for Wal-mart Stores East, Lp is 1922415165 and holds a License No. (South Carolina).

The current practice location address for Wal-mart Stores East, Lp is 1201 Knox Ave, North Augusta, SC and can be reached out via phone at 803-426-5087 and via fax at 803-202-8705.

Location: 1201 Knox Ave, North Augusta, SC, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922415165
Provider Name
Wal-mart Stores East, Lp
Credential
Provider Entity Type
Organization
Address
1201 Knox Ave, North Augusta, SC, 72716-0445
Phone Number
803-426-5087
Fax Number
803-202-8705
Provider Enumeration Date
07/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP6500 05 SC
D953 01 SC MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1201 Knox Ave
City
North Augusta
State
South Carolina
Zip
29841-4056
Phone Number
803-426-5087
Fax Number
803-202-8705
person
Provider Business Mailing Address Details
Address
1201 Knox Ave
City
North Augusta
State
South Carolina
Zip
29841-4056
Phone Number
803-426-5087
Fax Number
803-202-8705
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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