Individual provider · Type 1 NPI

Mallory Bunton Anderson, FNP-BC

Nurse Practitioner · West Columbia, SC

NPI number 1104166255 Active

Practice location

131 Summerplace Dr
West Columbia, SC 29169-3058

Fax (803) 796-8924

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	18187 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104166255

Mallory Bunton Anderson, FNP-BC's National Provider Identifier is 1104166255, issued on Feb 27, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Columbia, SC. The record was last updated on Feb 27, 2013.