MEDICARE: MRS. GAIL B ARMSTRONG FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2337	SC

General Provider Information

NPI Number	:	1063628139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GAIL B ARMSTRONG FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 6069
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29171-6069
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3314 PLATT SPRINGS RD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-2204
Country	:	US
Telephone Number	:	803-791-3494
Fax Number	:	803-739-9854

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	10/13/2020

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