Provider Demographics
NPI:1740041896
Name:HAFEY, SAREENA COLEMAN (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:SAREENA
Middle Name:COLEMAN
Last Name:HAFEY
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 MALL DR UNIT 9308
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-6599
Mailing Address - Country:US
Mailing Address - Phone:410-610-2714
Mailing Address - Fax:
Practice Address - Street 1:2114 HIGHWAY 41 STE 105
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-6204
Practice Address - Country:US
Practice Address - Phone:843-388-9000
Practice Address - Fax:843-388-6937
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC28082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily