Debra A Underwood, NP
Nurse Practitioner, Family in Lexington, SC. Individual provider (NPI-1).
NPI number1851613541
StatusActive
Last updated in NPPESFeb 22, 2010
Details
- NPI
- 1851613541
- Entity type
- Individual (NPI-1)
- Name
- Ms. Debra A Underwood
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2010
- Last updated
- Feb 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4115 | SC | Yes |
Practice location
122 Powell DrLexington, SC 29072-9203
Phone 803-957-8400 · Fax 803-957-1939
Mailing address
2720 Sunset BlvdAttn Credentialing
West Columbia, SC 29169-4810
Phone 803-936-7681
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