Wilchanovsky, Mary Elisheva

Wilchanovsky, Mary Elisheva is an individual health care provider with primary practice located at 4050 Bridge View Dr Suite 600, Charleston SC 29405-7488. 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. Wilchanovsky, Mary Elisheva can be contacted via phone (843) 746-3800.

Contact Information

Primary practice address
4050 Bridge View Dr Suite 600 Charleston SC 29405-7488
Phone: (843) 746-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X WH 870 South Carolina

Profile Details

NPI number 1164423695
LBN Legal business name Wilchanovsky, Mary Elisheva
Credentials APRN, WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 17 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 1164423695 NPPES
South Carolina Other WH 870 APRN LICENSE NUMBER

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