Individual
IRINA SURZHUKOV MISHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
25537
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8318
—
SC
01
—
SCM3915019
MEDICARE PIN
SC
01
—
SCM3919068
MEDICARE PIN
SC
Enumeration date
10/30/2021
Last updated
08/22/2025
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