Provider Demographics
NPI:1235551516
Name:SMALHEISER, VERONICA KEM (NP-C, ANP-BC, CCRN)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:KEM
Last Name:SMALHEISER
Suffix:
Gender:F
Credentials:NP-C, ANP-BC, CCRN
Other - Prefix:MISS
Other - First Name:VERONICA
Other - Middle Name:KEM
Other - Last Name:SCHIRNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:300 MIDTOWN DR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-5200
Mailing Address - Country:US
Mailing Address - Phone:843-770-0404
Mailing Address - Fax:843-770-0006
Practice Address - Street 1:300 MIDTOWN DR
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-5200
Practice Address - Country:US
Practice Address - Phone:843-770-0404
Practice Address - Fax:843-770-0006
Is Sole Proprietor?:No
Enumeration Date:2014-01-06
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18359363L00000X, 363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology