Individual
MELISSA FAYE HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2376 CYPRESS CIR, STE 203, CONWAY, SC 29526-8994
(843) 347-6038
(843) 347-9808
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
25804
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8464
—
SC
Enumeration date
02/18/2022
Last updated
02/29/2024
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