Individual
MRS. HAZEL GRAMLING SEGELKEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
312 MIDLAND PKWY, SUMMERVILLE, SC 29485-8102
(843) 875-6262
(843) 875-6262
Mailing address
312 MIDLAND PKWY, SUMMERVILLE, SC 29485-8102
(843) 875-6262
(843) 873-7958
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN1892
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85321
BOARD OF NURSING
SC
01
—
APN1892
BOARD OF NURSING
SC
Enumeration date
07/22/2005
Last updated
07/08/2007
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