Most Relevant Information
Provider Data
| NPI Number: | 1003679721 |
| Provider Name: | AMY ELAINE STACHO RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 273536 |
Most Important Dates
| Enumeration Date: | 02/05/2024 |
| Last Updated: | 02/21/2024 |
Provider Practice Location
3300 CREOLA RD
NORTH CHARLESTON
SC
294208703
Practice Location Phone/Fax
| Phone: | 8437675905 |
| Fax: |
Provider Mailing Location
3300 CREOLA RD
NORTH CHARLESTON
SC
294208703
Provider Mailing Phone/Fax
| Phone: | 8437675905 |
| Fax: |