Individual
NORMA JUNE TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
204 N CEDAR ST STE 100, SUMMERVILLE, SC 29483-6453
(843) 821-2480
Mailing address
204 N CEDAR ST STE 100, SUMMERVILLE, SC 29483-6453
(843) 821-2480
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29585
SC
Other
Enumeration date
10/29/2024
Last updated
12/11/2024
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