Individual
MS. KATHRYN ANNE VANRAVENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
401 WITSELL ST, WALTERBORO, SC 29488-3052
(843) 549-5546
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19358
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43948600
—
WI
05
—
NP3253
—
SC
Enumeration date
08/09/2005
Last updated
12/31/2019
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