Individual provider · Type 1 NPI

Wanda W. Grainger, FNP

Family Nurse Practitioner · Loris, SC

NPI number 1073684577 Active

Practice location

3109 Casey St, Suite A
Loris, SC 29569-2807

Fax (843) 756-9260

Mailing address

PO Box 3239
Florence, SC 29502-3239

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1033 (SC)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1073684577

Wanda W. Grainger, FNP's National Provider Identifier is 1073684577, issued on Nov 13, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Loris, SC. The record was last updated on Feb 3, 2021.