Individual
MRS. GRETCHEN ARLENE GRAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
131 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(803) 794-4585
Mailing address
131 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(803) 794-4585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17611
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
17611
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57-0713425
—
SC
Enumeration date
11/09/2011
Last updated
10/29/2020
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