Individual
DEBORAH ANN MARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2070 NORTHBROOK BLVD, NORTH CHARLESTON, SC 29406-9252
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
SP007302
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
25371
SC
363LP0200X
Pediatric Nurse Practitioner
SP007302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004029
PRESCRIPTION AUTH
PA
01
—
20030363
NURSE CERTIFICATION
PA
01
—
RN275155L
RN LICENSE
PA
01
—
SP007302
CRNP LICENSE
PA
Enumeration date
05/11/2007
Last updated
08/29/2022
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