Individual
AMY S SHENKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2480
(803) 936-4102
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN 2166
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
2166
SC
Other
Enumeration date
03/09/2007
Last updated
11/11/2020
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