Dievendorf, Amy Jeanette

Dievendorf, Amy Jeanette is an individual health care provider with primary practice located at 1655 Bernardin Avenue Suite - 350, Columbia SC 29204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dievendorf, Amy Jeanette can be contacted via phone (803) 253-7575.

Contact Information

Primary practice address
1655 Bernardin Avenue Suite - 350 Columbia SC 29204
Phone: (803) 253-7575
Fax: (803) 253-7571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4341SC South Carolina

Profile Details

NPI number 1871802686
LBN Legal business name Dievendorf, Amy Jeanette
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2010
Last updated Jan 19th, 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.

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