NPI 1043510795

Shannon W Easterlin, NP

Practitioner Pediatric Nurse Practitioner Orangeburg, SC

Practice location

Address: 940 Holly St, Orangeburg, SC 29115
Phone: (803) 536-2725
Fax: (803) 534-3118
Mailing address: 940 Holly St, Orangeburg, SC 29115-4930

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 4310 (SC)

Other Nurse Practitioner providers in South Carolina →

Registry record

NPI: 1043510795
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2010
Record last updated: 9 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.