Individual
STACEY MARIE FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 833-9100
(864) 833-9458
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009302
KY
363LF0000X
Family Nurse Practitioner
19990
SC
363LF0000X
Family Nurse Practitioner
3009302
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4292
—
SC
Enumeration date
03/19/2015
Last updated
03/27/2024
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