Criswell, Miriam Faith

Criswell, Miriam Faith is an individual health care provider with primary practice located at 727 Se Main St Ste 120 , Simpsonville SC 29681. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Criswell, Miriam Faith can be contacted via phone (864) 454-6500.

Contact Information

Primary practice address
727 Se Main St Ste 120 Simpsonville SC 29681
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 17839 South Carolina

Profile Details

NPI number 1578825444
LBN Legal business name Criswell, Miriam Faith
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2012
Last updated May 19th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578825444 NPPES
South Carolina MEDICAID NP2059

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