OrganizationActive
Internal Medicine and Cardiology
NPI 1477970010 · Gerontology Clinical Nurse Specialist · Greenville, SC
Provider details
- NPI number
- 1477970010
- Entity type
- Organization
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Vinita Srivastava, Medical Director
- License
- 18695 (SC)
Practice location
401 Guess St
Ste 100
Greenville, SC 29605-4155
Phone: (864) 233-2744
Fax: (864) 331-2896
Mailing address
401 Guess St
Greenville, SC 29605-4155
Registry dates
- Enumerated
- 2014-03-20
- Last updated
- 2014-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.