Individual
WANDA W GRAINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3109 CASEY ST, SUITE A, LORIS, SC 29569-2807
(843) 756-9292
(843) 756-9260
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 392-9222
(843) 392-1445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1033
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA58658552
MEDICARE PTAN
SC
05
—
NP0792
—
SC
Enumeration date
11/13/2006
Last updated
02/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us