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NPI Code Detail

MEDICARE: MS. GRETCHEN ANNE OVERSTOLZ FNP

MEDICARE:  MS. GRETCHEN ANNE OVERSTOLZ  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
1363LF0000XFamily Nurse Practitioner3749SC

General Provider Information

NPI Number : 1215291067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GRETCHEN ANNE OVERSTOLZ FNP
Provider Business Mailing Address
First Line : 4400 DORCHESTER RD STE 117
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-6930
Country : US
Telephone Number : 843-804-8286
Fax Number : 843-279-3119
Provider Business Practice Location Address
First Line : 4400 DORCHESTER RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-6849
Country : US
Telephone Number : 843-278-8291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2012
Last Update Date : 02/16/2025

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Directions to “ MS. GRETCHEN ANNE OVERSTOLZ FNP” Practice Location

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