MEDICARE: MS. EMMIE ELIZABETH STEADMAN ACNP

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
1	363LA2100X	Acute Care Nurse Practitioner	APN1001	SC

General Provider Information

NPI Number	:	1417933193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMMIE ELIZABETH STEADMAN ACNP

Provider Business Mailing Address
First Line	:	96 JONATHAN LUCAS ST
Second Line	:	SUITE 424
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8900
Country	:	US
Telephone Number	:	843-792-2339
Fax Number	:	843-792-7702

Provider Business Practice Location Address
First Line	:	96 JONATHAN LUCAS ST
Second Line	:	SUITE 424
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8900
Country	:	US
Telephone Number	:	843-792-2339
Fax Number	:	843-792-7702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	10/17/2007

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