Dutch, Stephanie Gail

Dutch, Stephanie Gail is an individual health care provider with primary practice located at 200 Patewood Dr , Greenville SC 29615-3593. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dutch, Stephanie Gail can be contacted via phone (864) 454-5612.

Contact Information

Primary practice address
200 Patewood Dr Greenville SC 29615-3593
Phone: (864) 454-5612
Fax: (864) 454-5121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 75918R South Carolina
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 75918R South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 21192 South Carolina

Profile Details

NPI number 1053835652
LBN Legal business name Dutch, Stephanie Gail
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2017
Last updated Jun 15th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053835652 NPPES
South Carolina MEDICAID NP4809

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