Basic Information
| Provider Information | |||||||||
| NPI: | 1609979178 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WERNER | ||||||||
| FirstName: | ANN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 209 PLEASANTWATER CT | ||||||||
| Address2: | |||||||||
| City: | TAYLORS | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296876163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6307306047 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 415 BROCKMAN MCCLIMON RD | ||||||||
| Address2: | |||||||||
| City: | GREER | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296516608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8649891432 | ||||||||
| FaxNumber: | 8649891462 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2006 | ||||||||
| LastUpdateDate: | 03/17/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 20019 | SC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.