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NPI Code Detail

MEDICARE: MS. DEBORAH LEE STRUCHEN NURSE PRACTITIONER

MEDICARE: MS. DEBORAH LEE STRUCHEN NURSE PRACTITIONER
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
1363LA2200XAdult Health Nurse Practitioner4157SC

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 : 1326000837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH LEE STRUCHEN NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1008 KINGSTON VILLAGE LOOP
Second Line :
City : IRMO
State : SC
Zip : 29063-9599
Country : US
Telephone Number : 315-569-6073
Fax Number :
Provider Business Practice Location Address
First Line : 625 W WESMARK BLVD
Second Line :
City : SUMTER
State : SC
Zip : 29150-1900
Country : US
Telephone Number : 803-469-7950
Fax Number : 803-469-7519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 07/05/2017

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