AMANDA POLHEMUS NPI 1508409541

NPI Information

  • NPI: 1508409541
  • Provider Name: AMANDA POLHEMUS
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 198 RUTLEDGE AVENUE
    SUITE 1
    CHARLESTON, SC
    ZIP 29403
  • Phone: (843) 723-0855

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NPI Details

Amanda Polhemus is a pediatrics nurse practitioner in Charleston, SC. Amanda Polhemus NPI is 1508409541. 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:

198 RUTLEDGE AVENUE
SUITE 1
CHARLESTON, SC
ZIP 29403
Phone: (843) 723-0855
Fax: (843) 723-1307

The enumeration date for this NPI number is 10/22/2019 and was last updated on 10/18/2023.

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
1363LP0200XNurse PractitionerPediatricsR240798MARYLANDYes

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: 11/21/2025

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