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NPI Code Detail

MEDICARE: DANIELLE LOUISE BOLLINGER MSN-NLE, FNP-C

MEDICARE:   DANIELLE LOUISE BOLLINGER  MSN-NLE, FNP-C
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
1163W00000XRegistered Nurse223725SC
2363LP2300XPrimary Care Nurse Practitioner24975SC
3363LF0000XFamily Nurse Practitioner24975SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1223725OTHERSCSC REGISTER NURSE

General Provider Information

NPI Number : 1285090803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE LOUISE BOLLINGER MSN-NLE, FNP-C
Provider Business Mailing Address
First Line : 1751 E MAIN ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307-2230
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 1751 E MAIN ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307-2230
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2016
Last Update Date : 01/09/2026

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Directions to “ DANIELLE LOUISE BOLLINGER MSN-NLE, FNP-C” Practice Location

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