DR. LARRY TYLER SHEALY DNP MSN APRN NPI 1699515809

NPI Information

  • NPI: 1699515809
  • Provider Name: DR. LARRY TYLER SHEALY, DNP MSN APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 626 WADE WAY
    GRANITEVILLE, SC
    ZIP 29829
  • Phone: (803) 645-4339

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NPI Details

DR. Larry Tyler Shealy, DNP MSN APRN is a family nurse practitioner in Graniteville, SC. DR. Larry Tyler Shealy, DNP MSN APRN NPI is 1699515809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

626 WADE WAY
GRANITEVILLE, SC
ZIP 29829-124
Phone: (803) 645-4339

The enumeration date for this NPI number is 5/28/2024 and was last updated on 8/5/2024.

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
1163W00000XRegistered NurseRN266557GEORGIANo
2163W00000XRegistered Nurse269039SOUTH CAROLINANo
3363LF0000XNurse PractitionerFamily29158SOUTH CAROLINAYes

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: 3/30/2025

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