Mishra, Ellen Margaret
Mishra, Ellen Margaret is an individual health care provider with primary practice located at 207 E Monroe St , Dillon SC 29536-2557. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mishra, Ellen Margaret can be contacted via phone (843) 774-4337.Contact Information
Primary practice address
207 E Monroe St
Dillon SC 29536-2557
Phone: (843) 774-4337
Fax: (843) 774-4373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3943 | South Carolina |
Profile Details
| NPI number | 1417020751 |
|---|---|
| LBN Legal business name | Mishra, Ellen Margaret |
| Credentials | WHNP-C, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Mar 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417020751 | NPPES |
| South Carolina | MEDICAID | NP1474 | |
| South Carolina | Other | P00939456 |
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