Rodriguez, Stephanie

Rodriguez, Stephanie is an individual health care provider with primary practice located at 1413 John B White Sr Blvd Ste D , Spartanburg SC 29306-3995. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Rodriguez, Stephanie can be contacted via phone (864) 587-5768.

Contact Information

Primary practice address
1413 John B White Sr Blvd Ste D Spartanburg SC 29306-3995
Phone: (864) 587-5768
Fax: (864) 587-5776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 25574 South Carolina

Profile Details

NPI number 1801561378
LBN Legal business name Rodriguez, Stephanie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2021
Last updated Feb 23rd, 2022 - about 2 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 1801561378 NPPES
South Carolina MEDICAID PENDING

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