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NPI Code Detail

MEDICARE: MRS. ROXANNE WITTMAN APRN

MEDICARE: MRS. ROXANNE WITTMAN 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
1163WE0003XEmergency Registered NurseRN9319691FL
2363LF0000XFamily Nurse PractitionerARNP9319691FL
3363LF0000XFamily Nurse Practitioner28436SC

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 : 1275018434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROXANNE WITTMAN APRN
Provider Business Mailing Address
First Line : 1888 BOILING SPRINGS RD
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-5124
Country : US
Telephone Number : 864-599-0920
Fax Number :
Provider Business Practice Location Address
First Line : 1888 BOILING SPRINGS RD
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-5124
Country : US
Telephone Number : 864-599-0920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2018
Last Update Date : 08/08/2024

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