Renee Ellen Walter, APN | |
2367 B Cypress Circle, Conway, SC 29526-8921 | |
(843) 349-1001 | |
(843) 349-1008 |
Full Name | Renee Ellen Walter |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2367 B Cypress Circle, Conway, 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 |
---|---|---|---|
1245948041 | NPI | - | NPPES |
26NR11450300 | Other | NJ | RN LICENSE |
26NJ01393800 | Other | NJ | APN LICENSE |
NP9477 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 27384 (South Carolina) | Primary |
Entity Name | Primary Care Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083900526 PECOS PAC ID: 2860665809 Enrollment ID: O20111108000032 |
Mailing Address | Practice Location Address |
---|---|
Renee Ellen Walter, APN 300 Singleton Ridge Rd, Attn Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Renee Ellen Walter, APN 2367 B Cypress Circle, Conway, SC 29526-8921 Ph: (843) 349-1001 |
Mrs. Danielle Karin Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 251 University Blvd, Conway, SC 29526 Phone: 843-349-6543 | |
Mr. Jonathan D. Briggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 Fax: 843-399-3378 | |
Linda Lee Queen, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145 | |
Dr. Karen Jeanette Smith, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2996 E Highway 501, Conway, SC 29526 Phone: 843-347-2613 | |
Betsy L Paul, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1113 Church St, Conway, SC 29526 Phone: 843-248-6269 | |
Diana L Taylor, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Professional Park Drive, Conway, SC 29526 Phone: 843-234-5678 | |
Anooja Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 834 Farrar Dr, Conway, SC 29526 Phone: 843-497-7275 |