Mrs Kristy Michelle Wolff, NP | |
935 West 2nd St, Swansea, SC 29160 | |
(803) 568-2000 | |
(803) 568-5113 |
Full Name | Mrs Kristy Michelle Wolff |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 935 West 2nd St, Swansea, 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 |
---|---|---|---|
1952582603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3246 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3246F (South Carolina) | Primary |
Entity Name | Minuteclinic Diagnostic South Carolina Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447420815 PECOS PAC ID: 8527126861 Enrollment ID: O20081015000409 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristy Michelle Wolff, NP 2720 Sunset Blvd, Attn Credentialing, West Columbia, SC 29169-4810 Ph: (803) 936-7679 | Mrs Kristy Michelle Wolff, NP 935 West 2nd St, Swansea, SC 29160 Ph: (803) 568-2000 |
Pamela Demitra Levi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 935 W 2nd St, Swansea, SC 29160 Phone: 803-568-2000 Fax: 803-468-4190 | |
Kari Anne Simmons, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Sardis Church Rd, Swansea, SC 29160 Phone: 803-513-8534 | |
Carol A Upton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 935 W 2nd St, Swansea, SC 29160 Phone: 803-568-2000 | |
Monica S Sires, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 935 W 2nd St, Swansea, SC 29160 Phone: 803-568-2000 Fax: 803-568-4190 | |
Sydney Jayne Dantzler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 935 W 2nd St, Swansea, SC 29160 Phone: 803-568-2000 Fax: 803-568-4190 | |
Ms. Elizabeth Eileen Seal, MSN, CCRN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1031 Cedar Creek Rd, Swansea, SC 29160 Phone: 803-568-4496 | |
Kaitlyn Hofbauer Brooks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 935 W 2nd St, Swansea, SC 29160 Phone: 803-568-2000 |