Andrea B Trader, FNP | |
206 Swift Creek Rd, Hartsville, SC 29550-4383 | |
(843) 383-5191 | |
(843) 383-8895 |
Full Name | Andrea B Trader |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 206 Swift Creek Rd, Hartsville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942239736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1513 (South Carolina) | Primary |
Entity Name | Hartsville Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598995300 PECOS PAC ID: 7012062714 Enrollment ID: O20090902000027 |
Entity Name | Black Creek Medical Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245623792 PECOS PAC ID: 9335455914 Enrollment ID: O20150827000252 |
Mailing Address | Practice Location Address |
---|---|
Andrea B Trader, FNP 701 Medical Park Dr, Ste 300, Hartsville, SC 29550-4777 Ph: (843) 383-5191 | Andrea B Trader, FNP 206 Swift Creek Rd, Hartsville, SC 29550-4383 Ph: (843) 383-5191 |
Mrs. Zita Acuna Andreski, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985 | |
Ms. Gyetri Mitchell, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-4600 | |
Mr. Robert Alexander Campbell Jr., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Medical Park Dr Ste 207, Hartsville, SC 29550 Phone: 843-383-5191 Fax: 843-332-9229 | |
Katelon Marie Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-339-5518 | |
Staci Leigh Cassidy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985 | |
Aquilla Bec, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-0118 | |
Ms. Elizabeth Anne Sorg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985 |