Miller Derajtys, K. Patricia

Miller Derajtys, K. Patricia is an individual health care provider with primary practice located at 1278 N Lafayette Drive , Sumter SC 29150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Miller Derajtys, K. Patricia can be contacted via phone (803) 774-4500.

Contact Information

Primary practice address
1278 N Lafayette Drive Sumter SC 29150
Phone: (803) 774-4500
Fax: (803) 774-4641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 236 South Carolina

Profile Details

NPI number 1962479170
LBN Legal business name Miller Derajtys, K. Patricia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 22nd, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962479170 NPPES
South Carolina MEDICAID NP0840

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