Individual provider · Type 1 NPI
Larenzo A. Champagne, FNP-BC
Nurse Practitioner · Charleston, SC
Practice location
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Mailing address
314 Woodgate Way
Summerville, SC 29485-7481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 29350 (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 1619791159
Larenzo A. Champagne, FNP-BC's National Provider Identifier is 1619791159, issued on Nov 12, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, SC. The record was last updated on Nov 26, 2024.