Provider Demographics
NPI:1811759038
Name:STANCIL, BRITTANY (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:STANCIL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:654 BELLAMY AVE UNIT 691
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-3627
Mailing Address - Country:US
Mailing Address - Phone:843-651-4600
Mailing Address - Fax:843-651-4601
Practice Address - Street 1:4017 HIGHWAY 17 STE 200
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5032
Practice Address - Country:US
Practice Address - Phone:843-651-4600
Practice Address - Fax:843-651-4601
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC28401363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner