Individual
MRS. ANN R MIXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2731 GORDON ST, NORTH CHARLESTON, SC 29405-3900
(843) 745-7126
(843) 529-3914
Mailing address
2731 GORDON ST, NORTH CHARLESTON, SC 29405-3900
(843) 745-7126
(843) 529-3914
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
91797
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WS0200X
—
SC
Enumeration date
08/11/2014
Last updated
08/11/2014
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