Individual
DONNA MARIE SCUDERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3841 LEEDS AVE, NORTH CHARLESTON, SC 29405-7469
(843) 529-7349
Mailing address
4055 FABER PLACE DR STE 100, NORTH CHARLESTON, SC 29405-8522
(843) 266-3824
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22940
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
THIS FACILITY DOES NOT BILL ANY INSURANCE COMPANIES
SC
Enumeration date
09/19/2019
Last updated
09/19/2019
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