Provider Demographics
NPI:1053117648
Name:ARMSTRONG, STEPHANIE GODFREY
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:GODFREY
Last Name:ARMSTRONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:SC
Mailing Address - Zip Code:29360-2343
Mailing Address - Country:US
Mailing Address - Phone:864-984-3568
Mailing Address - Fax:864-984-8100
Practice Address - Street 1:301 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-2343
Practice Address - Country:US
Practice Address - Phone:864-984-3568
Practice Address - Fax:864-984-8100
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC107072163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics