Individual
MADELINE REISTROFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1330 BOILING SPRINGS RD STE 2100, SPARTANBURG, SC 29303-4210
(864) 591-1700
(864) 591-0007
Mailing address
391 SERPENTINE DR, STE 500, SPARTANBURG, SC 29303-3096
(864) 585-8221
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
62680
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0178
—
SC
Enumeration date
06/22/2005
Last updated
02/05/2019
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