Individual
RUTH ANNE ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1300 TIGER BLVD, CLEMSON, SC 29631-1114
(866) 389-2727
Mailing address
366 MARKET ST, SENECA, SC 29678-0926
(864) 364-6380
(833) 853-9422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18468
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2784
—
SC
01
—
SC2276I818
MEDICARE
SC
Enumeration date
10/06/2013
Last updated
03/10/2023
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