Provider Demographics
NPI:1528038445
Name:LUHRS, REBECCA S (FNP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:S
Last Name:LUHRS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 BEE ST
Mailing Address - Street 2:11-C
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401-5703
Mailing Address - Country:US
Mailing Address - Phone:843-789-6676
Mailing Address - Fax:
Practice Address - Street 1:109 BEE ST
Practice Address - Street 2:11-C
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-5703
Practice Address - Country:US
Practice Address - Phone:843-789-6676
Practice Address - Fax:843-805-5798
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP0427Medicaid
SC080149463OtherRAILROAD MEDICARE NUMBER
SCNP0427Medicaid
SCP106595996Medicare ID - Type UnspecifiedMEDICARE NUMBER