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NPI Code Detail

MEDICARE: NATALIE C WAN

MEDICARE: NATALIE C WAN
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
1101YS0200XSchool Counselor
21041C0700XClinical Social Worker18690SC

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 : 1548938194
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE C WAN
Provider Business Mailing Address
First Line : 605 ROBERT DANIEL DR APT 4304
Second Line :
City : DANIEL ISLAND
State : SC
Zip : 29492-7478
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 CHARLIE HALL BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5832
Country : US
Telephone Number : 843-852-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2021
Last Update Date : 04/07/2026

Similar Medicare Providers

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1851316608 — LESLIE GERARD
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1225042294 — MRS. LAURA APPLEBAUM HARE LPC
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1841204674 — MS. DONNA LYNN POOLE RN
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Directions to “ NATALIE C WAN ” Practice Location

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