Individual provider · Type 1 NPI
Gwendolyn Elaine Peterson-Taitague
Family Nurse Practitioner · West Columbia, SC
NPI number
1679149280
Active
Practice location
1535 Platt Springs Rd # 4283
West Columbia, SC 29169-5502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 24676 (SC) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1679149280
Gwendolyn Elaine Peterson-Taitague's National Provider Identifier is 1679149280, issued on Jun 3, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Columbia, SC. The record was last updated on Jan 17, 2024.