Provider Demographics
NPI:1821330341
Name:HARTER, LEANNE MARIE (RN)
Entity Type:Individual
Prefix:
First Name:LEANNE
Middle Name:MARIE
Last Name:HARTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 E HOWE SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6700
Mailing Address - Country:US
Mailing Address - Phone:843-664-8451
Mailing Address - Fax:843-664-8182
Practice Address - Street 1:2300 E HOWE SPRINGS RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6700
Practice Address - Country:US
Practice Address - Phone:843-664-8451
Practice Address - Fax:843-664-8182
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC103603163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC103603OtherSC NURSE LICENSE