SERENA WORMALD KOCOUREK NP NPI 1386274397

NPI Information

NPI: 1386274397
Provider Name: SERENA WORMALD KOCOUREK, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1005 GROVE RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-6900
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Serena Wormald Kocourek, NP is an acute care nurse practitioner in Greenville, SC with 5 years of experience. Serena Wormald Kocourek, NP NPI is 1386274397. 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:

1005 GROVE RD
GREENVILLE, SC
ZIP 29605-630
Phone: (864) 455-6900
Fax: (864) 255-5619

The NPI 1386274397 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/17/2020 and was last updated on 5/17/2021.

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		239287	SOUTH CAROLINA	No
2	363LG0600X	Nurse Practitioner	Gerontology	23689	SOUTH CAROLINA	No
3	363LA2100X	Nurse Practitioner	Acute Care	23689	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: 4/28/2024

NPI Synchronization or Removal

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