TESSA DANIEL FACH NP - NPI 1407423676 - Nurse Practitioner in Summerville, SC

Q: What is Tessa Fach's NPI number?

The NPI number for Tessa Fach is 1407423676. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Q: What is Tessa Fach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tessa Fach was last updated on June 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tessa Daniel Fach Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TESSA DANIEL FACH NP (NPI 1407423676) is an individual family provider in Summerville, South Carolina, licensed in South Carolina (24885) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1407423676

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTESSA DANIEL FACHCredential: NP

Location Address102 W 8TH NORTH ST STE BSummerville, SC 29483-6656

Mailing Address1030 Striped LnJohns Island, SC 29455-9018 · (912) 237-1688

Phone(912) 237-1688

Sole ProprietorNo

Enumeration DateJune 7, 2021

NPPES CertifiedMay 20, 2021

✔ NPI 1407423676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 24885

102 W 8TH NORTH ST STE B, Summerville, SC 29483

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW BAIN SMITH M.D.

Pediatrics (Sports Medicine)