MARIANO LLOVIDO RAZON III (NPI# 1356844278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356844278 |
| Entity Type | Individual |
| Full Name | MARIANO LLOVIDO RAZON III |
| Credential | FNP-C |
| Practice Address |
1035 Cheraw St. Bennettsville SC 29512 |
| Mailing Address |
P.o. Box 918 Bennettsville SC 29512 |
| Practice Telephone | 8434540841 |
| Practice Fax Number | 8434540635 |
| Mailing Telephone | 8434540841 |
| Mailing Fax Number | 8434540635 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN21516 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 405127 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1035 Cheraw St., Bennettsville, SC 29512 | 8434540841 | 8434540635 |
| Street Address |
1035 CHERAW ST. |
| City | BENNETTSVILLE |
| State | SC |
| Zip Code | 29512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226453 | Hossan A Hassan | Specialist | 1035 Cheraw St., Bennettsville, SC 29512 | 2005-12-20 |
| 1477056372 | Quaneaka Chintell Reed | Registered Nurse | 1035 Cheraw St., Bennettsville, SC 29512 | 2018-03-16 |
| 1982075123 | Earlean Renita Hall | Counselor | 1035 Cheraw St., Bennettsville, SC 29512 | 2015-10-14 |
| 1144698093 | Cynthia L King-bridges | Counselor | 1035 Cheraw St., Bennettsville, SC 29512 | 2015-09-09 |
| 1750724324 | Wanda S. Renfrow | Counselor | 1035 Cheraw St., Bennettsville, SC 29512 | 2013-04-12 |
| 1083968218 | Amanda H. Steen | Registered Nurse | 1035 Cheraw St., Bennettsville, SC 29512 | 2012-11-09 |
| 1710246863 | Aimee Elizabeth Seals | Counselor | 1035 Cheraw St., Bennettsville, SC 29512 | 2012-05-10 |
| 1780940841 | Rachel La-nise Norris | Counselor | 1035 Cheraw St., Bennettsville, SC 29512 | 2012-04-03 |
| 1033484753 | Eunice Carnelia Bell | Counselor | 1035 Cheraw St., Bennettsville, SC 29512 | 2012-03-13 |
| 1881974087 | Christin C David | Social Worker | 1035 Cheraw St., Bennettsville, SC 29512 | 2011-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841371 | Anna Paige Paul | Counselor | 1035 Cherau St, Bennettsville, SC 29512 | 2016-06-06 |
| 1821468679 | Kristen Dana Oliver | Social Worker | 1035 Cherow St., Bennettsville, SC 29512 | 2015-10-05 |
| 1285022749 | 3-points Coastal Care,llc | Community/Behavioral Health | 1300 West Main St, Bennettsville, SC 29512 | 2015-01-06 |
| 1437572328 | Terri Cardenas Woodham | Pharmacist | 336 Highway 9 West, Bennettsville, SC 29512 | 2014-01-28 |
| 1851712533 | Amy Kessler | Pharmacist | 336 Hwy 9 West, Bennettsville, SC 29512 | 2013-12-23 |
| 1346677184 | Daniel Louis Lockamy | Counselor | 284 Tatum Rd, Bennettsville, SC 29512 | 2013-10-10 |
| 1164772596 | Melissa Irene Pletan | Pharmacist | 1085 Cottingham Blvd, Ste 3, Bennettsville, SC 29512 | 2012-09-13 |
| 1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
| 1649572710 | Ingram Health Service/manna House.inc | Case Management | 211 N Market Street, Bennettsville, SC 29512 | 2010-11-23 |
| 1952564387 | Gregory Wayne Alford | Community Health Worker | 610 State Street Ext, Bennettsville, SC 29512 | 2008-07-07 |
| Find all providers in zip 29512 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1821612615 | Hannah Olivia Robidoux | Nurse Practitioner | 109 Montelena Dr, Lexington, SC 29072-6911 | 2020-06-08 |
| 1376172502 | Luron M Fleming | Nurse Practitioner | 712 Arlington Ave, Greenville, SC 29601-3206 | 2020-04-08 |
| 1760017651 | Kandice Rivers | Nurse Practitioner | 8504 Chloe Ln, North Charleston, SC 29406-8100 | 2020-03-11 |
| 1194350447 | Angela M. Strange | Nurse Practitioner | 109 Brookhaven Dr, Moore, SC 29369-9750 | 2020-03-06 |
| 1144851742 | Patricia Deane | Nurse Practitioner | 430 Cox Rd, Greer, SC 29651-7260 | 2020-02-01 |
| 1497386155 | Michelle Yvette Pinckney | Nurse Practitioner | 1094 Williams Rd, Charleston, SC 29412-5322 | 2020-01-31 |
| 1619515632 | Leah R Hunter | Nurse Practitioner | 53 Antique Rose Ct, Irmo, SC 29063-7501 | 2019-12-20 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| Find all providers with the same taxonomy | ||||
| City | BENNETTSVILLE |
| Zip Code | 29512 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.