=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225951031
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INFINITY STAR HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2026
-----------------------------------------------------
Last Update Date | 08/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1217 JOCELYN DR APT 302 'ADMINISTRATIVE/TELEHEALTH USE ONLY'
-----------------------------------------------------
City | FORT MILL
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29708-0161
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-792-1174
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 885 GOLD HILL RD # 1025
-----------------------------------------------------
City | FORT MILL
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29708-7946
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-792-1174
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NURSE PRACTITIONER
-----------------------------------------------------
Name | MS. MARIE CRISTINE SENA
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 617-415-3421
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------