Search › South Carolina › Psychiatric/Mental Health Nurse Practitioner
Ian Shaver
NPI 1356041065 · on the registry since 2023 · sole proprietor
Practice
- Address
- 939 Springdale Dr
Clinton, SC 29325 - Phone
- (910) 742-9243
- Fax
- (888) 746-1787
- Organisation at this address
- Lifesource Prime Inc
Assisted Living Concepts Inc
Lifesource Of North CarolinaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 1086 Secessionville Rd, Charleston, SC
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Also registered as
- Psychiatric/Mental Health Nurse Practitioner
- Licence states on file
- NC, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-22
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