MEDICARE: NP CARE INC.

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1467147314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NP CARE INC.

Provider Business Mailing Address
First Line	:	2102 CROMLEY CIR STE B
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-3187
Country	:	US
Telephone Number	:	843-839-5286
Fax Number	:

Provider Business Practice Location Address
First Line	:	2102 CROMLEY CIR STE B
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-3187
Country	:	US
Telephone Number	:	843-839-5286
Fax Number	:	843-353-2528

Authorized Official
Title or Position	:	CREDENTIALING CONTACT
Name	:	IRENE HALLOCK
Credential	:	FNP
Telephone Number	:	843-283-1212

Provider Enumeration Date	:	04/06/2023
Last Update Date	:	05/31/2023

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Directions to “NP CARE INC. ” Practice Location

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