Individual
MRS. STEFANIE LEE GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7182 WOODROW ST STE 200, IRMO, SC 29063-2832
(803) 749-1111
(803) 749-0050
Mailing address
7182 WOODROW ST STE 200, IRMO, SC 29063-2832
(803) 749-1111
(803) 749-0050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3821
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3821
APRN LICENSE
SC
Enumeration date
02/10/2009
Last updated
09/30/2020
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