Individual
NICOLE E STASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
(843) 402-0227
(843) 402-0232
Mailing address
1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
(843) 402-0227
(843) 402-0232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23056
SC
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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