Healthcare Provider Details

I. General information

NPI: 1538124078
Provider Name (Legal Business Name): DENISE M BABINEAU ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE M MIRELES ARNP

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 POSTON RD STE 350
CHARLESTON SC
29407-3431
US

IV. Provider business mailing address

255 CELESTIAL BLVD
SUMMERVILLE SC
29486-2448
US

V. Phone/Fax

Practice location:
  • Phone: 843-573-2535
  • Fax:
Mailing address:
  • Phone: 843-573-2535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPN2747
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: