Cretella, Stefanie Lynn

Cretella, Stefanie Lynn is an individual health care provider with primary practice located at 115 Executive Pkwy , Moncks Corner SC 29461-3955. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cretella, Stefanie Lynn can be contacted via phone (843) 761-2815.

Contact Information

Primary practice address
115 Executive Pkwy Moncks Corner SC 29461-3955
Phone: (843) 761-2815
Fax: (843) 899-4723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1942535570
LBN Legal business name Cretella, Stefanie Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2009
Last updated Apr 6th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942535570 NPPES
South Carolina MEDICAID 1117PA

Popular Providers