Gravel, Gretchen Arlene

Gravel, Gretchen Arlene is an individual health care provider with primary practice located at 131 Summerplace Dr , West Columbia SC 29169-3058. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Gravel, Gretchen Arlene can be contacted via phone (803) 794-4585.

Contact Information

Primary practice address
131 Summerplace Dr West Columbia SC 29169-3058
Phone: (803) 794-4585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 17611 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 17611 South Carolina

Profile Details

NPI number 1427335157
LBN Legal business name Gravel, Gretchen Arlene
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2011
Last updated Oct 29th, 2020 - about 4 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 1427335157 NPPES
South Carolina MEDICAID 57-0713425

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