Shaffer, Loretta J.

Shaffer, Loretta J. is an individual health care provider with primary practice located at 2601 Forest Drive Agape Senior Primary Care Inc, Columbia SC 29204-2363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shaffer, Loretta J. can be contacted via phone (803) 491-0909.

Contact Information

Primary practice address
2601 Forest Drive Agape Senior Primary Care Inc Columbia SC 29204-2363
Phone: (803) 491-0909
Fax: (843) 353-2581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2832 South Carolina

Profile Details

NPI number 1033163456
LBN Legal business name Shaffer, Loretta J.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 21st, 2022 - about 3 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 1033163456 NPPES
South Carolina Other 2832 SC BD OF NURSING LIC #

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