BRANDEIS K FENNELL NP
NPI 1528083748
Nurse Practitioner - Adult Health in Florence, SC

Active since July 12, 2006
1203 EAST CHEVES STREET, FLORENCE, SC 29506(843) 777-2564(843) 777-5135 Get Directions Write a Review

NPPES record last updated: March 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandeis K Fennell Np NPPES

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

BRANDEIS K FENNELL NP (NPI 1528083748) is an individual adult health provider in Florence, South Carolina, licensed in South Carolina (2829) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1528083748
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBRANDEIS K FENNELLCredential: NP
Location Address1203 EAST CHEVES STREETFlorence, SC 29506-2711
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 777-2564 · Fax (843) 777-5135
Fax(843) 777-5135
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 27, 2009
NPI 1528083748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in SC · 2829
1203 EAST CHEVES STREET, Florence, SC 29506

Other Identifiers 3

Medicare UPINQ70632SC
Medicare ID-Type UnspecifiedAA14468552SC
MedicaidNP1010SC

Other Providers at the Same Location NPPES

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

Hospice Care, Community Based
1203 EAST CHEVES STREET
FLORENCE, SC 29506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandeis Fennell's NPI number?

The NPI number for Brandeis Fennell is 1528083748. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Brandeis Fennell located?

Brandeis Fennell practices at 1203 East Cheves Street, Florence, SC 29506. The listed phone number is (843) 777-2564.

What is Brandeis Fennell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Brandeis Fennell was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.