Mary Dortenzo, RN-ANP

NPI 1215105085 · on the registry since 2008

Practice

Address: 176 Mcswain Dr
West Columbia, SC 29169
Phone: (803) 767-4465
Fax: (803) 767-4120
Organisation at this address: Trident Pain Center
Trident Pain Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363LA2200X
363LA2200X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina