MRS. STACEY BUMGARDNER APRN NPI 1760707558

NPI Information

NPI: 1760707558
Provider Name: MRS. STACEY BUMGARDNER, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
222 S HERLONG AVE
ROCK HILL, SC
ZIP 29732
Phone: (803) 329-6754
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MRS. Stacey Bumgardner, APRN is a family nurse practitioner in Rock Hill, SC. MRS. Stacey Bumgardner, APRN NPI is 1760707558. 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:

222 S HERLONG AVE
ROCK HILL, SC
ZIP 29732-158
Phone: (803) 329-6754
Fax: (803) 985-4521

The enumeration date for this NPI number is 4/5/2010 and was last updated on 4/5/2010.

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	363LF0000X	Nurse Practitioner	Family	4035	SOUTH CAROLINA	Yes

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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