Mcdevitt, Amy Zange

Mcdevitt, Amy Zange is an individual health care provider with primary practice located at 2097 Henry Tecklenburg Dr Ste 201W , Charleston SC 29414-5739. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mcdevitt, Amy Zange can be contacted via phone (843) 402-1211.

Contact Information

Primary practice address
2097 Henry Tecklenburg Dr Ste 201W Charleston SC 29414-5739
Phone: (843) 402-1211
Fax: (843) 606-8088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2978 South Carolina

Profile Details

NPI number 1639279714
LBN Legal business name Mcdevitt, Amy Zange
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 27th, 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 1639279714 NPPES
South Carolina MEDICAID NP1037

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