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NPI Code Detail

MEDICARE: DR. ALISON SUSAN AGUILERA DNP, ACNPC-AG

MEDICARE: DR. ALISON SUSAN AGUILERA DNP, ACNPC-AG
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
1363LA2100XAcute Care Nurse Practitioner30858SC

General Provider Information

NPI Number : 1437034774
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALISON SUSAN AGUILERA DNP, ACNPC-AG
Provider Business Mailing Address
First Line : PO BOX 6069
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29171-6069
Country : US
Telephone Number : 803-791-2491
Fax Number :
Provider Business Practice Location Address
First Line : 2720 SUNSET BLVD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-4810
Country : US
Telephone Number : 803-936-7372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2025
Last Update Date : 03/18/2026

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