Dutch, Stephanie G
Dutch, Stephanie G is an individual health care provider with primary practice located at 10 Patewood Dr Ste 150 , Greenville SC 29615-5612. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dutch, Stephanie G can be contacted via phone (864) 454-5612.Contact Information
Primary practice address
10 Patewood Dr Ste 150
Greenville SC 29615-5612
Phone: (864) 454-5612
Fax: (864) 454-5121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 75918R | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 21192 | South Carolina |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 75918R | South Carolina |
Profile Details
| NPI number | 1053835652 |
|---|---|
| LBN Legal business name | Dutch, Stephanie G |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2017 |
| Last updated | Feb 25th, 2026 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053835652 | NPPES |
| South Carolina | MEDICAID | NP4809 |
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