Mallory Bunton Anderson, FNP-BC Valid NPI

Individual provider · Nurse Practitioner · West Columbia, SC

NPI

1104166255

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

18187 (SC)

Sex

Female

Sole proprietor

No

Enumerated

2013-02-27

Last updated

2013-02-27