Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN 2166 | SC |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 2166 | SC |
NPI | 1023140845 |
---|---|
Provider Name | Amy S Shenkar |
First Address | West Columbia, SC 29171-6069 |
Second Address | West Columbia, SC 29169-4810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 11/11/2020 |