Individual provider · Type 1 NPI

Mary R. Stackhouse, R.N.

Community Health Registered Nurse · Abbeville, SC

NPI number 1477972941 Active

Practice location

905 W Greenwood St
Abbeville, SC 29620-5678

Fax (864) 366-4105

Mailing address

PO Box 189
Abbeville, SC 29620-0189

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500XR 42648 (SC)

Community Health Registered Nurse: Definition to come...

2 other providers at this address

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About NPI 1477972941

Mary R. Stackhouse, R.N.'s National Provider Identifier is 1477972941, issued on Apr 14, 2014. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Abbeville, SC. The record was last updated on Apr 14, 2014.