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NPI Code Detail

MEDICARE: MS. ANN WERNER NP

MEDICARE: MS. ANN WERNER NP
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
1363LF0000XFamily Nurse Practitioner20019SC

General Provider Information

NPI Number : 1609979178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN WERNER NP
Provider Business Mailing Address
First Line : 209 PLEASANTWATER CT
Second Line :
City : TAYLORS
State : SC
Zip : 29687-6163
Country : US
Telephone Number : 630-730-6047
Fax Number :
Provider Business Practice Location Address
First Line : 415 BROCKMAN MCCLIMON RD
Second Line :
City : GREER
State : SC
Zip : 29651-6608
Country : US
Telephone Number : 864-989-1432
Fax Number : 864-989-1462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 03/17/2016

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