MARIE DAVIS RATAJ ANP NPI 1003872391

Nurse Practitioner (Adult Health) in Summerville, SC

About MARIE RATAJ

Marie Rataj is a provider in Summerville, SC with more than 17 years of experience. The NPI number assigned to this provider is 1003872391. The practitioner's primary taxonomy code is Nurse Practitioner (363LA2200X). The provider is registered as an individual and their NPI record was last updated 3 years ago. Marie Rataj is registered with Medicare and accepts claims assignment.

NPI1003872391 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name MARIE DAVIS RATAJ ANP
Provider Location Address92 SPRINGVIEW LANE SOUTH CAROLINA SLEEP MEDICINE SUMMERVILLE, SC 29485 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address92 SPRINGVIEW LANE SUMMERVILLE, SC 29485 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-25-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-05-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MARIE DAVIS RATAJ ANP
92 SPRINGVIEW LANE
SOUTH CAROLINA SLEEP MEDICINE
SUMMERVILLE, SC
ZIP 29485
Phone: (843) 871-4006
Fax: (843) 871-4074
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Mailing Address

MARIE DAVIS RATAJ ANP
92 SPRINGVIEW LANE
SUMMERVILLE, SC
ZIP 29485
Phone: (843) 871-4006
Fax: (843) 871-4074

Primary Taxonomy

Taxonomy Code363LA2200X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAdult Health
License No.A2706
License StateSC

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
Q48313MEDICARE UPIN (02)

Map Location


MARIE DAVIS RATAJ ANP address is 92 SPRINGVIEW LANE SOUTH CAROLINA SLEEP MEDICINE SUMMERVILLE, SC 29485

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144601592 MICHELLE FELICE PETERSON APRN
Individual
Nurse Practitioner (Adult Health)92 SPRINGVIEW LANE SOUTH CAROLINA SLEEP MEDICINE
SUMMERVILLE, SC 29485
(843) 871-4006