Mixter, Ann R

Mixter, Ann R is an individual health care provider with primary practice located at 2731 Gordon St , North Charleston SC 29405-3900. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Mixter, Ann R can be contacted via phone (843) 745-7126.

Contact Information

Primary practice address
2731 Gordon St North Charleston SC 29405-3900
Phone: (843) 745-7126
Fax: (843) 529-3914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 91797 South Carolina

Profile Details

NPI number 1548679996
LBN Legal business name Mixter, Ann R
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2014
Last updated Aug 11th, 2014 - about 12 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 1548679996 NPPES
South Carolina MEDICAID 163WS0200X

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