MS. DEBORAH E. VAN ETTEN


Address: 442 Professional Park Rd, Clinton, SC 29325-7626
Phone: 8649380912

MS. DEBORAH E. VAN ETTEN (NPI# 1982702098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982702098
Entity Type Individual
Full Name MS. DEBORAH E. VAN ETTEN
Credential RN
Practice Address 442 Professional Park Rd
Clinton
SC 29325-7626
Mailing Address 1547 Parkway
Suite 100
Greenwood
SC 29646-4081
Practice Telephone 8649380912
Practice Fax Number 8649380926
Mailing Telephone 8642297120
Mailing Fax Number 8642295526
Enumeration Date 2006-09-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
70861 SC Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 421504 SOUTHCAROLINA 05

Other Providers DEBORAH VAN ETTEN

NPI Name Taxonomy Address Enumeration
1942240197 Deborah A Van Etten Clinical Nurse Specialist 90 Concord Ave, Belmont, MA 02478-4046 2006-06-07

Office Location

Street Address 442 PROFESSIONAL PARK RD
City CLINTON
State SC
Zip Code 29325-7626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528177474 Donna K. Stover Counselor 442 Professional Park Rd, Clinton, SC 29325-7626 2006-08-30
1841607181 Tiffany Lashae Sims Counselor 442 Professional Park Rd, Clinton, SC 29325-7626 2014-07-18
1588822704 Shannon Nicole Aiken Counselor 442 Professional Park Rd, Clinton, SC 29325-7626 2008-05-23
1598847048 Barbara A. Beeks Counselor 442 Professional Park Rd, Clinton, SC 29325-7626 2006-10-20
1801983366 Jacquelyn Denise Calhoun Counselor 442 Professional Park Rd, Clinton, SC 29325-7626 2006-10-06
1154413821 Robyn Danielle Brown Social Worker 442 Professional Park Rd, Clinton, SC 29325-7626 2006-09-29
1336231851 Alfred Ralph Ebert Psychiatry & Neurology 442 Professional Park Rd, Clinton, SC 29325-7626 2006-09-29
1518069483 Colleen Diane Goff Counselor 442 Professional Park Rd, Clinton, SC 29325-7626 2006-09-02
1720180490 Sandy Kay Shelton Counselor 442 Professional Park Rd, Clinton, SC 29325-7626 2006-09-02
1104928787 Mary Frances Thompson Counselor 442 Professional Park Rd, Clinton, SC 29325-7626 2006-09-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295353100 Mason Paige Gambrell Student in an Organized Health Care Education/Training Program 107 Shellcreek Ct, Clinton, SC 29325 2020-07-07
1386207975 Tammy Binger Registered Nurse 22725 U.S. 76, Clinton, SC 29325 2019-04-18
1154828945 Lillian Smith Physical Therapy Assistant Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 2018-04-09
1134519366 Nora Pace Specialist/Technologist 18132 Hwy 72 E, Clinton, SC 29325 2015-01-26
1497186845 John M. Griz Orthopaedic Surgery 22971 Hwy 76e, Clinton, SC 29325 2013-12-11
1992131171 Sharon Kay Stoia Occupational Therapist 600 Plaza Circle, Clinton, SC 29325 2013-09-19
1578800256 Hayes Ambulance Service LLC Ambulance 2143 Torrington Road, Clinton, SC 29325 2013-01-14
1083943518 Margaret Estelle Shreve Chiropractor 209 Musgrove St, Clinton, SC 29325 2009-12-11
1750556213 Piedmont Regional Urology Urology 300 Plantation Plaza, Suite F, Clinton, SC 29325 2008-04-25
1285821587 Assisted Living Concepts Inc Assisted Living Facility 939 Springdale Drive, Clinton, SC 29325 2007-10-01
Find all providers in zip 29325

Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861508012 Sherry Elaine Reid Registered Nurse 90 North 31st Str, Clinton, OK 73601-9116 2006-08-21
1821056714 Deborah K Greve Registered Nurse 1320 11th Street Nw, Ste A, Clinton, IA 52732-5069 2006-05-02
1174124697 Susan Ernst Registered Nurse 1320 19th Ave Nw, Clinton, IA 52732-2752 2020-11-02
1356869127 Stacy A Watson Registered Nurse 90 N 31st St, Clinton, OK 73601-9116 2017-08-31
1619270600 Geraldine Louise Hunt Registered Nurse 1800 Community, Clinton, MO 64735-8804 2010-12-13
1619270857 Martha Ann Foster Registered Nurse 1800 Community, Clinton, MO 64735-8804 2010-12-09
1154652121 Cheryl Locke Registered Nurse 1800 Community, Clinton, MO 64735-8804 2010-01-14
1528218955 Kathryn E. Camden Registered Nurse 1800 Community, Clinton, MO 64735-8804 2008-09-23
1215009105 Nancy Rayne Registered Nurse 7325 State Route 5, Clinton, NY 13323 2006-11-15
1114001872 Jacquelyn K Kramer Registered Nurse 638 S Bluff Blvd, Clinton, IA 52732-4742 2006-10-25
Find all providers in CLINTON

Competitor

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City CLINTON
Zip Code 29325

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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