Rhoda Mae Ascanio, APRN, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Charleston, SC

NPI 1194014340 · NPPES record last updated Dec 5, 2018

Key facts

NPI
1194014340
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
3445 (SC)
Practice address
67 President St Ste 410
Charleston, SC 29425-5712
Phone
(843) 792-5421
Fax
(843) 792-5432
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3445SCMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3445 SC Yes

Addresses

Primary practice location

67 President St Ste 410
Charleston, SC 29425-5712

Mailing address

67 President St., Suite 410 South
MSC 861
Charleston, SC 29425
Phone (843) 792-5421

Other practice location 1

67 President St., Sute 410 South
MSC 861
Charleston, SC 29425
Phone (843) 792-5421

Other identifiers

IdentifierTypeStateIssuer
NP1806MedicaidSC

Other providers in Charleston, SC

All providers in Charleston, SC · Family Nurse Practitioner in South Carolina

Sources for this page

Verify at the official NPI Registry.