Mudda, Constance Audrianna

Mudda, Constance Audrianna is an sole proprietor health care provider with primary practice located at 2400 Boiling Springs Rd , Boiling Springs SC 29316-5304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mudda, Constance Audrianna can be contacted via phone (864) 599-0731.

Contact Information

Primary practice address
2400 Boiling Springs Rd Boiling Springs SC 29316-5304
Phone: (864) 599-0731
Fax: (864) 599-0791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X MCCA-8ROC7 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28160 South Carolina

Profile Details

NPI number 1083292148
LBN Legal business name Mudda, Constance Audrianna
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2021
Last updated May 6th, 2024 - about 7 months 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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