IndividualActive
Heather Manigault, NURSES AIDE
NPI 1265037402 · Nurse's Aide · Lake City, SC
Provider details
- NPI number
- 1265037402
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- NURSES AIDE
- Sex
- Female
- Sole proprietor
- No
- License
- 167658 (SC)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
806 Augustine St
Lake City, SC 29560-4102
Phone: (843) 550-7110
Approximate (ZIP-level) locationGet directions
Mailing address
806 Augustine St
Lake City, SC 29560-4102
Registry dates
- Enumerated
- 2020-12-04
- Last updated
- 2020-12-04
- Certified
- 2020-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.