Vahle, Mary Nerissa

Vahle, Mary Nerissa is an individual health care provider with primary practice located at 1204 E Cheves St , Florence SC 29506-2710. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vahle, Mary Nerissa can be contacted via phone (843) 673-0122.

Contact Information

Primary practice address
1204 E Cheves St Florence SC 29506-2710
Phone: (843) 673-0122
Fax: (843) 661-6400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041400926 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014924 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22829 South Carolina

Profile Details

NPI number 1497106017
LBN Legal business name Vahle, Mary Nerissa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2016
Last updated Oct 30th, 2023 - 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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