Individual provider · Type 1 NPI
Heather Church Stavrakas, NP-C
Adult Health Nurse Practitioner · Ridgeland, SC
NPI number
1093986473
Active
Practice location
329 Friends Lane
Ridgeland, SC 29936-5175
Fax (843) 525-9418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 138671 (NC) |
| Adult Health Nurse Practitioner | 363LA2200X | 5003921 (NC) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 19200 (SC) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
Other adult health nurse practitioner providers in Ridgeland
About NPI 1093986473
Heather Church Stavrakas, NP-C's National Provider Identifier is 1093986473, issued on Mar 13, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Ridgeland, SC. The record was last updated on Sep 11, 2024.