Individual provider · Type 1 NPI

Ian Shaver

Psychiatric/Mental Health Nurse Practitioner · Clinton, SC

NPI number 1356041065 Active

Practice location

939 Springdale Dr
Clinton, SC 29325-7266

Fax (888) 746-1787

Mailing address

1086 Secessionville Rd
Charleston, SC 29412-9744

Other practice locations

  • 1086 Secessionville Rd, Charleston, SC 29412-9744 · (704) 681-2417

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X321428 (NC)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X27278 (SC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1356041065

Ian Shaver's National Provider Identifier is 1356041065, issued on Mar 9, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clinton, SC. The record was last updated on May 22, 2023.