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NPI Code Detail

MEDICARE: MRS. QUEEN J FLOWERS APRN

MEDICARE: MRS. QUEEN J FLOWERS 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
1363LA2200XAdult Health Nurse Practitioner34973 835SC

General Provider Information

NPI Number : 1326148453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. QUEEN J FLOWERS APRN
Provider Business Mailing Address
First Line : 301A PALMETTO PARK BLVD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-7872
Country : US
Telephone Number : 803-359-3545
Fax Number : 803-359-2111
Provider Business Practice Location Address
First Line : 301A PALMETTO PARK BLVD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-7872
Country : US
Telephone Number : 803-359-3545
Fax Number : 803-359-2111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 08/10/2015

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