Gina Alexander Berrios, APRN, FNP-C, ANP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Laurens, SC
NPI 1679721815 · NPPES record last updated Aug 13, 2013
Key facts
- NPI
- 1679721815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 3635 (SC)
- Practice address
- 1108 Church St
Laurens, SC 29360-1610 - Phone
- (803) 924-6093
- Fax
- (864) 682-1234
- NPI assigned
- Aug 29, 2008
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3635 | SC | MD | Physician Assistant |
Interoperability endpoints
- gina.berrios.1@23284.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3635 | SC | Yes |
Addresses
Primary practice location
1108 Church St
Laurens, SC 29360-1610
Mailing address
1108 Church St
Laurens, SC 29360-1610
Phone (803) 924-6093
Other providers in Laurens, SC
- Kristi L Beeler
- Karen O Behrendt
- Nathanael Ricardo Benitez
- Bennett Chiropractic Clinic, LLC
- Farrah Benson
- Denetrice Olivia Berry-Brunner
- Iris Boney
- Princess Boyd
- Timothy Bradberrry
- Myra Bradberry
All providers in Laurens, SC · Adult Health Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.