Individual
BETTIE S STEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
222 E MEDICAL LN STE 101, WEST COLUMBIA, SC 29169-4850
(803) 739-3660
Mailing address
1014 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7177
(843) 818-8694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22447
SC
363LF0000X
Family Nurse Practitioner
22447
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5946
—
SC
Enumeration date
03/27/2019
Last updated
11/07/2022
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