Individual provider · Type 1 NPI
Serena Wormald Kocourek, NP
Acute Care Nurse Practitioner · Greenville, SC
NPI number
1386274397
Active
Practice location
1005 Grove Rd
Greenville, SC 29605-4630
Fax (864) 255-5619
Mailing address
1 Independence Pt Ste 212
Greenville, SC 29615-4536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 239287 (SC) |
| Gerontology Nurse Practitioner | 363LG0600X | 23689 (SC) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 23689 (SC) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1386274397
Serena Wormald Kocourek, NP's National Provider Identifier is 1386274397, issued on Jan 17, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Greenville, SC. The record was last updated on May 17, 2021.