Individual
HAYLEY ANDERSON PROVOSTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3685 RIVERS AVENUE, NORTH CHARLESTON, SC 29405
(843) 532-9196
Mailing address
738 MILLDENHALL RD, MOUNT PLEASANT, SC 29464-5148
(843) 532-9196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
63783
SC
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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