Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 20078 | SC |
NPI | 1043671134 |
---|---|
Provider Name | Abbey Tapler |
First Address | Atlanta, GA 30384-2145 |
Second Address | Columbia, SC 29203-6859 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2016 |
Last Update Date | 15/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP4192 | (05) | SC |