Individual
BRIAN STEFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 GREENE ST, COLUMBIA, SC 29208-4001
(803) 777-7412
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-4001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP030437
PA
363LP0200X
Pediatric Nurse Practitioner
SP030437
PA
Other
Enumeration date
02/14/2024
Last updated
10/15/2025
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