Individual provider · Type 1 NPI
Mary Neidhardt
Family Nurse Practitioner · Charleston, SC
NPI number
1871477489
Active
Practice location
114 Howard Mary Dr Unit B
Charleston, SC 29412-9581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 261407 (SC) |
| Family Nurse Practitioner Primary | 363LF0000X | APN.32846 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1871477489
Mary Neidhardt's National Provider Identifier is 1871477489, issued on Aug 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Oct 5, 2026.