Individual
MEGAN ROSE STEPHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MSN NNP-BC
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 296-2273
Mailing address
638 BYRON RD, COLUMBIA, SC 29209-2004
(920) 286-3344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21651
SC
363LN0000X
Neonatal Nurse Practitioner
C-APN.0000039-C-NP
CO
Other
Enumeration date
01/23/2013
Last updated
10/23/2018
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