Individual
STEPHANIE M. DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1436
(843) 402-1833
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
68702
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
2431
SC
367500000X
Certified Registered Nurse Anesthetist
D185712
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0688
—
SC
Enumeration date
11/13/2007
Last updated
08/04/2025
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