Healthcare Provider Details

I. General information

NPI: 1346710258
Provider Name (Legal Business Name): DENIZE PARON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2018
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 WACCAMAW MEDICAL PARK DR
CONWAY SC
29526-8903
US

IV. Provider business mailing address

164 WACCAMAW MEDICAL PARK DR
CONWAY SC
29526-8903
US

V. Phone/Fax

Practice location:
  • Phone: 843-234-8104
  • Fax: 843-349-3959
Mailing address:
  • Phone: 843-234-8104
  • Fax: 843-349-3959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number237612
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number677394-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: