Coleburn, Amanda
Coleburn, Amanda is an individual health care provider with primary practice located at 800 E Cheves St Suite 370, Florence SC 29506-2650. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Coleburn, Amanda can be contacted via phone (843) 665-2191.Contact Information
Primary practice address
800 E Cheves St Suite 370
Florence SC 29506-2650
Phone: (843) 665-2191
Fax: (843) 679-0818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN 826 | South Carolina |
Profile Details
| NPI number | 1669445680 |
|---|---|
| LBN Legal business name | Coleburn, Amanda |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Sep 19th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669445680 | NPPES |
| South Carolina | MEDICAID | NP0055 |
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