Individual
MS. SANDRA MARION BREMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8014 MYRTLE TRACE DR, CONWAY, SC 29526
(843) 997-0912
(888) 979-8571
Mailing address
137 HOLCOMBE LN, CONWAY, SC 29527-8616
(843) 997-0912
(888) 979-8571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1956
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1956
S.C. STATE LICENSE
SC
05
—
NP1250
—
SC
Enumeration date
05/31/2006
Last updated
05/07/2019
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