Individual
MS. LINDA DETSCHER BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2085 HENRY TECKLENBURG DR, STE 320, CHARLESTON, SC 29414-7710
(843) 402-1211
(843) 606-8088
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2371
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821255811
—
NC
05
—
NP3228
—
SC
Enumeration date
05/19/2008
Last updated
05/10/2016
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