NPI 1376915934 MRS. TINA RENELL GOETHIE-LYONS APRN, FNP-BC RIDGELAND SC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Tina Renell Goethie-lyons - NPI: 1376915934

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. TINA RENELL GOETHIE-LYONS
NPI Number: 1376915934
Entity Type Code: Individual (1)
Gender: F
Credentials: APRN, FNP-BC
License Number: APN.19824 APRN
Business Practice Address: 721 Okatie Hwy
Okatie, SC - 299093963
Business Phone Number: 8439877400
Business Fax Number: 8439860566
Mailing Address: Po Box 357, 721 N. Okatie Hwy, Okatie, Sc 29909
RIDGELAND
State: SC
Postal Code: 299362605
Phone Number: 8439877400
Fax Number: 8439860566
NPI Enumeration Date: 10/22/2015
NPI Last Update Date: 10/22/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: APN.19824 APRN
Healthcare Provider Taxonomy:
(Secondary)
Y
State: SC
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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