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NPI Code Detail

MEDICARE: MRS. CAROLINE M YERICH FNP

MEDICARE: MRS. CAROLINE M YERICH FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner1283SC
2363LF0000XFamily Nurse Practitioner1283SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01173871OTHERSCRR-MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023023827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLINE M YERICH FNP
Provider Business Mailing Address
First Line : PO BOX 530062
Second Line :
City : ATLANTA
State : GA
Zip : 30353-0062
Country : US
Telephone Number : 843-695-6071
Fax Number : 843-569-5879
Provider Business Practice Location Address
First Line : 809 N CEDAR ST
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29483-6605
Country : US
Telephone Number : 843-871-9440
Fax Number : 843-871-5932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 01/31/2023

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Directions to “ MRS. CAROLINE M YERICH FNP” Practice Location

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