Burrell, Staci D

Burrell, Staci D is an individual health care provider with primary practice located at 101 Sedgewood Dr , Rock Hill SC 29732-2315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burrell, Staci D can be contacted via phone (803) 328-9300.

Contact Information

Primary practice address
101 Sedgewood Dr Rock Hill SC 29732-2315
Phone: (803) 328-9300
Fax: (803) 327-2179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1143 South Carolina

Profile Details

NPI number 1114953106
LBN Legal business name Burrell, Staci D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Aug 28th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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