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ELLEN MARIE STAHLMAN MSN FNP-BC APRN NPI 1811614472


NPI Information

NPI: 1811614472
Provider Name: ELLEN MARIE STAHLMAN, MSN, FNP-BC, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
48 CENTENNIAL WAY STE A
GREENVILLE, SC
ZIP 29605
Phone: (864) 522-8000
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Ellen Marie Stahlman, MSN, FNP-BC, APRN is a family nurse practitioner in Greenville, SC with 2 years of experience. Ellen Marie Stahlman, MSN, FNP-BC, APRN NPI is 1811614472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY
Graduation Year:2022

The provider's business location address is:

48 CENTENNIAL WAY STE A
GREENVILLE, SC
ZIP 29605-662
Phone: (864) 522-8000
Fax: (864) 522-8005

The NPI 1811614472 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 10/25/2022 and was last updated on 1/11/2023.


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
1163W00000XRegistered Nurse240312SOUTH CAROLINANo
2363LF0000XNurse PractitionerFamily26641SOUTH CAROLINAYes

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
1PENDINGMEDICAIDSOUTH CAROLINA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.