Individual
LOREY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
4452 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7206
(843) 293-1137
Mailing address
3695 TRAVIANA RD, CONWAY, SC 29526-6098
(610) 417-7902
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP027642
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
28429
SC
Other
Enumeration date
06/01/2023
Last updated
03/15/2026
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