Healthcare Provider Details

I. General information

NPI: 1396425161
Provider Name (Legal Business Name): ANIKO SZTANKOVICS FELDMAN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 EXECUTIVE PARK WAY
MONCKS CORNER SC
29461-3930
US

IV. Provider business mailing address

110 EXECUTIVE PARK WAY
MONCKS CORNER SC
29461-3930
US

V. Phone/Fax

Practice location:
  • Phone: 843-899-9090
  • Fax: 843-899-9091
Mailing address:
  • Phone: 843-899-9099
  • Fax: 843-899-9091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPN.27347
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: