Organization · Type 2 NPI

Wal-Mart Stores East, LP

Nurse Practitioner · Sumter, SC

NPI number 1114332665 Active

Practice location

1283 Broad St
Sumter, SC 29150-1973

Fax (803) 905-5530

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1114332665

Wal-Mart Stores East, LP's National Provider Identifier is 1114332665, issued on Jun 24, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sumter, SC. The record was last updated on Feb 19, 2015.