Individual
MRS. EVANS NESTERTSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
274 COMMONWEALTH DR, GREENVILLE, SC 29615-4869
(864) 478-8580
Mailing address
304 WOODINGTON DR, GREENVILLE, SC 29607-6049
(864) 934-9984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26713
SC
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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