MEDICARE: LORETTA J. SHAFFER APRN

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
1	363L00000X	Nurse Practitioner	2832	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2832	OTHER	SC	SC BD OF NURSING LIC #

General Provider Information

NPI Number	:	1033163456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORETTA J. SHAFFER APRN

Provider Business Mailing Address
First Line	:	1624 MAIN STREET
Second Line	:	AGAPE SENIOR PRIMARY CARE INC
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2818
Country	:	US
Telephone Number	:	803-726-2350
Fax Number	:	803-753-9102

Provider Business Practice Location Address
First Line	:	2601 FOREST DRIVE
Second Line	:	AGAPE SENIOR PRIMARY CARE INC
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2363
Country	:	US
Telephone Number	:	803-491-0909
Fax Number	:	843-353-2581

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1407838063 — SOUTH CAROLINA MEDICAL ENDOSCOPY, INC.
Practice Location Address:

2631 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-254-8449
Practice Fax: 803-254-8984

1922082296 — DR. STEPHEN C LLOYD M.D., PH.D.
Practice Location Address:

2631 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-254-8449
Practice Fax: 803-254-8984

1124097563 — MEDICAL ENDOSCOPY PROFESSIONALS, PA
Practice Location Address:

2631 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-254-8449
Practice Fax: 803-254-8984

1518908409 — COLUMBIA REHABILITATION AND NURSING CENTER-COLUMBIA SC LLC
Practice Location Address:

2601 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-256-4983
Practice Fax: 803-256-6273

1023152543 — GWANETIA M JOHNSON PTA
Practice Location Address:

2601 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-765-7127
Practice Fax:

1447494356 — DAVID CHAPPELL CRNA
Practice Location Address:

2631 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-603-6622
Practice Fax:

Directions to “ LORETTA J. SHAFFER APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.