Individual
JOHANNA MELODIE MAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AAHIVS
Contact information
Practice address
3583 HIGHWAY 17, MURRELLS INLET, SC 29576-5002
(609) 287-9730
Mailing address
517 OLD FIELD RD, MURRELLS INLET, SC 29576-7748
(609) 287-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
22360
SC
363LP2300X
Primary Care Nurse Practitioner
F306952-1
NY
Other
Enumeration date
07/28/2014
Last updated
08/11/2023
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