Individual
MALYNN BERRY GABORIAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NNP-BC
Contact information
Practice address
TAYLOR AT MARION STREETS, COLUMBIA, SC 29220-0001
(803) 296-5709
Mailing address
421 PEAK COPPER CT, LEXINGTON, SC 29073-5901
(803) 582-8794
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
225895
SC
363LN0000X
Neonatal Nurse Practitioner
Primary
25884
SC
Other
Enumeration date
01/27/2022
Last updated
03/11/2022
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