Ashley Divers
Nurse Practitioner - Gerontology
1344 Haile St
Camden
, South Carolina 29020-3076
Ashley Divers
Nurse Practitioner - Gerontology
1344 Haile St
Camden
, South Carolina 29020-3076
(803) 432-1996
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Ashley Divers
- 1344 Haile St
- Camden, SC
- Zip : 29020-3076
- Phone : (803) 432-1996
Second Address
- Ashley Divers
- 1344 Haile St
- Camden, SC
- Zip : 29020-3076
- Phone : (803) 432-1996
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 19251 | SC |
National Provider Identifier
| NPI | 1023407269 |
|---|---|
| Provider Name | Ashley Divers |
| First Address | Camden, SC 29020-3076 |
| Second Address | Camden, SC 29020-3076 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2015 |
| Last Update Date | 12/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.