Flaherty, Stacey Marie

Flaherty, Stacey Marie is an individual health care provider with primary practice located at 22725 Highway 76 E , Clinton SC 29325-7527. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Flaherty, Stacey Marie can be contacted via phone (864) 833-9100.

Contact Information

Primary practice address
22725 Highway 76 E Clinton SC 29325-7527
Phone: (864) 833-9100
Fax: (864) 833-9458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009302 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19990 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3009302 Kentucky

Profile Details

NPI number 1396139119
LBN Legal business name Flaherty, Stacey Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2015
Last updated Mar 27th, 2024 - about 2 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 1396139119 NPPES
South Carolina MEDICAID NP4292

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