Healthcare Provider Details

I. General information

NPI: 1467362210
Provider Name (Legal Business Name): KATIE BETH NWANEGWO WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE BETH ZERBE WHNP

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2376 CYPRESS CIR
CONWAY SC
29526-8964
US

IV. Provider business mailing address

2017 SAGE DR
MYRTLE BEACH SC
29588-4207
US

V. Phone/Fax

Practice location:
  • Phone: 843-347-7216
  • Fax:
Mailing address:
  • Phone: 608-695-3178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number31626
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: