Individual
STEPHANIE L MCCRAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2858 SUNSET BLVD STE B, WEST COLUMBIA, SC 29169-3420
(803) 699-9073
(803) 764-3215
Mailing address
2858 SUNSET BLVD, WEST COLUMBIA, SC 29169-3420
(803) 699-9073
(803) 764-2361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3965
SC
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
R95364
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R95364
NP LICENSE
SC
Enumeration date
11/02/2010
Last updated
01/09/2019
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