Individual
LORETTA J. SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2601 FOREST DRIVE, AGAPE SENIOR PRIMARY CARE INC, COLUMBIA, SC 29204-2363
(803) 491-0909
(843) 353-2581
Mailing address
1624 MAIN STREET, AGAPE SENIOR PRIMARY CARE INC, COLUMBIA, SC 29201-2818
(803) 726-2350
(803) 753-9102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2832
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2832
SC BD OF NURSING LIC #
SC
Enumeration date
05/20/2006
Last updated
07/21/2022
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