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NPI 1073889606

NPI 1073889606 : MICHELLE LORRAINE MYER DNP, RN, APRN, CPNP : CAYCE, SC

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General NPI Number Information
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    NPI Number           |    1073889606
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE LORRAINE MYER DNP, RN, APRN, CPNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/28/2012
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    Last Update Date     |    06/13/2025
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Provider Practice Location Address
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    Address Line         |    400 OTARRE PARKWAY 
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    City                 |    CAYCE
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    State                |    SC
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    Zip                  |    29033
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    Country              |    US
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    Telephone            |    803-898-0097
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    Fax                  |    803-898-0577
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2046 
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    City                 |    WEST COLUMBIA
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    State                |    SC
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    Zip                  |    29171-2046
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    Country              |    US
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    Telephone            |    803-898-0097
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    Fax                  |    803-898-0577
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    1837
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    License Number State |    SC
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