MEDICARE: MRS. ERIN LEDFORD TALBERT MSN, RN, APRN, FNP-C

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	20323	SC

General Provider Information

NPI Number	:	1679925358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN LEDFORD TALBERT MSN, RN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	1547 GREENWOOD HWY
Second Line	:
City	:	MC CORMICK
State	:	SC
Zip	:	29835-6738
Country	:	US
Telephone Number	:	864-993-9877
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 HOLIDAY RD
Second Line	:
City	:	MC CORMICK
State	:	SC
Zip	:	29835-3430
Country	:	US
Telephone Number	:	864-391-5011
Fax Number	:

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

Provider Enumeration Date	:	07/06/2016
Last Update Date	:	12/14/2021

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