Individual
MRS. SHARALYN J WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
114 GATEWAY CORPORATE BLVD, SUITE 120, COLUMBIA, SC 29203
(803) 865-4924
(803) 865-4925
Mailing address
P.O. BOX 23321, NEW YORK, NY 10087
(803) 936-7679
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN 798
SC
363LW0102X
Women's Health Nurse Practitioner
WH798
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
798
LICENSE
SC
Enumeration date
02/06/2007
Last updated
05/02/2024
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