Individual
MRS. ANDREA WEBB OATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
8 RICHLAND MEDICAL PARK,, SUITE 420, COLUMBIA, SC 29203-8004
(803) 545-6050
(803) 545-6051
Mailing address
3555 HARDEN STREET EXT, 15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6894
(803) 545-5017
(803) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209995
SC
363L00000X
Nurse Practitioner
Primary
20247
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20247
APRN
SC
Enumeration date
05/05/2016
Last updated
06/09/2016
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