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Individual

HEATHER R NOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3011543
KY
363LF0000X
Family Nurse Practitioner
Primary
21224
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP6035
SC
01
SCF312
MEDICARE
SC
Enumeration date
02/28/2018
Last updated
01/11/2024
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