Individual
SVETLANA DANILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
173 MILLS LN, FORT MILL, SC 29708-5706
(954) 665-7803
Mailing address
173 MILLS LN, FORT MILL, SC 29708-5706
(954) 665-7803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23292
SC
363LF0000X
Family Nurse Practitioner
23292
SC
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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