Organization
FAST RESPONSE NURSE PRACTITIONERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MALANOWSKI (CONTROLLER)
(440) 989-5200
Entity
Organization
Contact information
Practice address
60 OKATIE VILLAGE DR, OKATIE, SC 29909
(843) 548-5273
(440) 989-5273
Mailing address
P.O. BOX 72464, CLEVELAND, OH 44192-0002
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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