Healthcare Provider Details

I. General information

NPI: 1013506732
Provider Name (Legal Business Name): HANNAH SEYLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2668 LAKE PARK DR
NORTH CHARLESTON SC
29406-7120
US

IV. Provider business mailing address

2668 LAKE PARK DR
NORTH CHARLESTON SC
29406-7120
US

V. Phone/Fax

Practice location:
  • Phone: 843-640-3562
  • Fax:
Mailing address:
  • Phone: 843-640-3562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-3087
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: