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NPI Code Detail

MEDICARE: FELICIA SKIPPER BERKELEY R.N.

MEDICARE: FELICIA SKIPPER BERKELEY R.N.
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
1163WS0200XSchool Registered Nurse68469SC

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 : 1124365242
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIA SKIPPER BERKELEY R.N.
Provider Business Mailing Address
First Line : 315 E QUEEN ST
Second Line :
City : PENDLETON
State : SC
Zip : 29670-1721
Country : US
Telephone Number : 864-403-2500
Fax Number : 864-646-8016
Provider Business Practice Location Address
First Line : 315 E QUEEN ST
Second Line :
City : PENDLETON
State : SC
Zip : 29670-1721
Country : US
Telephone Number : 864-403-2500
Fax Number : 864-646-8016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2013
Last Update Date : 10/04/2013

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Directions to “ FELICIA SKIPPER BERKELEY R.N.” Practice Location

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