MEDICARE: DINEQUA D FIZER PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	27752	SC

General Provider Information

NPI Number	:	1598524621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINEQUA D FIZER PMHNP

Provider Business Mailing Address
First Line	:	460 KING ST STE 200
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29403-6229
Country	:	US
Telephone Number	:	313-623-7647
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 KING ST STE 200
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29403-6229
Country	:	US
Telephone Number	:	313-623-7647
Fax Number	:

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

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	03/19/2024

Similar Medicare Providers

1215558812 — PRINCE EJINDU MD
Practice Location Address:

460 KING ST STE 200
CHARLESTON, SC
29403-6229

Practice Phone: 615-719-4514
Practice Fax:

1790869311 — JOSHUA L. SHERWIN M.D.
Practice Location Address:

484 KING ST STE 205
CHARLESTON, SC
29403-6229

Practice Phone: 330-474-3112
Practice Fax: 330-572-3836

1235792425 — MATTHEW ROBERT HORTON LPC
Practice Location Address:

460 KING ST STE 200
CHARLESTON, SC
29403-6229

Practice Phone: 843-694-2124
Practice Fax:

1982237418 — LESLIE WILLIAMS
Practice Location Address:

460 KING ST
CHARLESTON, SC
29403-6229

Practice Phone: 833-866-4900
Practice Fax:

1659967172 — SONGBIRD HEALTH SC LLC
Practice Location Address:

460 KING ST STE 200
CHARLESTON, SC
29403-6229

Practice Phone: 803-866-1629
Practice Fax: 833-392-1148

1548263510 — MRS. LAUREL K FOX CRNA
Practice Location Address:

125 DOUGHTY ST , STE 430
CHARLESTON, SC
29403-5741

Practice Phone: 843-720-8448
Practice Fax: 843-720-8449

Directions to “ DINEQUA D FIZER PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.