MEDICARE: MS. ETOY N FLEMMINGS APRN

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	363L00000X	Nurse Practitioner	25337	SC

General Provider Information

NPI Number	:	1750038659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ETOY N FLEMMINGS APRN

Provider Business Mailing Address
First Line	:	104 WELLS AVE
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29646-3837
Country	:	US
Telephone Number	:	864-725-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	1123 SPRING ST
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29646-3833
Country	:	US
Telephone Number	:	864-450-9036
Fax Number	:

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

Provider Enumeration Date	:	03/10/2022
Last Update Date	:	05/01/2025

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