Healthcare Provider Details

I. General information

NPI: 1316618713
Provider Name (Legal Business Name): NATASHA L PIEHOTA MSN, BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 BRIDGE VIEW DR
NORTH CHARLESTON SC
29405-7488
US

IV. Provider business mailing address

302 CALM WATER WAY
SUMMERVILLE SC
29486-6903
US

V. Phone/Fax

Practice location:
  • Phone: 843-953-0038
  • Fax:
Mailing address:
  • Phone: 717-380-7546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number255585
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number255585
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code364SI0800X
TaxonomyInformatics Clinical Nurse Specialist
License Number255585
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number255585
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: