Provider Demographics
NPI:1578518429
Name:TANSEY, NANCY (MS, APRN-GNP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:TANSEY
Suffix:
Gender:F
Credentials:MS, APRN-GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8216 DEVON CT
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-4178
Mailing Address - Country:US
Mailing Address - Phone:843-848-6480
Mailing Address - Fax:843-848-6655
Practice Address - Street 1:8216 DEVON CT
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-4178
Practice Address - Country:US
Practice Address - Phone:843-848-6480
Practice Address - Fax:843-848-6655
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR89874363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCR89874OtherLICENSE
SC1945OtherSC RN LICENSE
SCAA01888244Medicare PIN