Individual provider · NPI-1

Mary Adler, NP

Nurse Practitioner · Charleston, SC

NPI number1760790075
StatusActive
Last updated in NPPESOct 8, 2020

Details

NPI
1760790075
Entity type
Individual (NPI-1)
Name
Mary Adler
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 21, 2010
Certification date
Oct 8, 2020
Last updated
Oct 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner4347SCYes

Practice location

171 Ashley Ave
Charleston, SC 29425-0100

Phone 843-792-1414

Mailing address

Po Box 751461
Charlotte, NC 28275-1461

Phone 843-792-6200

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