Lowery, Wanda Fay

Lowery, Wanda Fay is an individual health care provider with primary practice located at 912 Inlet Square Dr , Murrells Inlet SC 29576-7812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lowery, Wanda Fay can be contacted via phone (843) 651-4111.

Contact Information

Primary practice address
912 Inlet Square Dr Murrells Inlet SC 29576-7812
Phone: (843) 651-4111
Fax: (843) 492-4666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004316 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20328 South Carolina

Profile Details

NPI number 1366683823
LBN Legal business name Lowery, Wanda Fay
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2009
Last updated Jul 13th, 2022 - about 4 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 1366683823 NPPES
South Carolina MEDICAID NP4248

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