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Individual

TRISHA MAGNUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1530 N LIMESTONE ST, GAFFNEY, SC 29340-4742
(864) 487-5014
(864) 487-7981
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22898
SC
363LF0000X
Family Nurse Practitioner
4704196007
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP6510
SC
01
SCG5285019
MEDICARE PIN
SC
Enumeration date
10/29/2012
Last updated
02/04/2021
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