GINA M STENSTROM NP NPI 1649651845

NPI Information

NPI: 1649651845
Provider Name: GINA M STENSTROM, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
101 E WOOD ST
3RD FLOOR
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-1900
Get Directions

Gina M Stenstrom, NP is a family nurse practitioner in Spartanburg, SC. Gina M Stenstrom, NP NPI is 1649651845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 E WOOD ST
3RD FLOOR
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-1900
Fax: (864) 560-1925

The NPI 1649651845 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2015 and was last updated on 1/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		84212	SOUTH CAROLINA	No
2	363L00000X	Nurse Practitioner		19669	SOUTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	19669	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP3387	MEDICAID	SOUTH CAROLINA
2	SC66093365	OTHER	SOUTH CAROLINA	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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