Individual
MRS. DIANNE LANDIS BRETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
222 E MEDICAL LN STE 300, WEST COLUMBIA, SC 29169-4848
(803) 936-8100
(803) 936-8130
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1594
SC
Other
Enumeration date
05/15/2007
Last updated
10/15/2020
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