Individual
DEVON E LICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP
Contact information
Practice address
319 FOLLY RD, CHARLESTON, SC 29412-2518
(843) 203-2246
(843) 203-2247
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19210
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3094
—
SC
Enumeration date
02/18/2014
Last updated
06/28/2021
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