| Anna Wayne Streisel, FNP | |
| 
					9565 Highway 78 Bldg 100, Ladson, SC 29456-4118  | |
| (843) 476-4702 | |
| (843) 476-4290 | 
| Full Name | Anna Wayne Streisel | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 9565 Highway 78 Bldg 100, Ladson, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568078939 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 24259 (South Carolina) | Primary | 
| Entity Name | Southern Coast Specialists, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386148617 PECOS PAC ID: 9234484577 Enrollment ID: O20180611000373  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anna Wayne Streisel, FNP 1055 Ribaut Rd Ste 30, Beaufort, SC 29902-5447 Ph: (843) 476-4702  | Anna Wayne Streisel, FNP 9565 Highway 78 Bldg 100, Ladson, SC 29456-4118 Ph: (843) 476-4702  | 
Victoria Michelle Kennedy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-793-5970  | |
Haley Mcclure Jones, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Treeland Dr Ste B, Ladson, SC 29456 Phone: 843-277-2240  | |
Wilson Mccall Fitchett, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-793-5970 Fax: 843-419-5391  | |
Kiara Baylock, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8536 Palmetto Commerce Pkwy Ste 401, Ladson, SC 29456 Phone: 854-529-3193  | |
Chiquita Anderson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9698 Patriot Blvd Apt 928, Ladson, SC 29456 Phone: 843-518-1376  | |
Chelsea Kelly,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9537 S Cardinal Dr, Ladson, SC 29456 Phone: 843-997-4024  | |
Shelli Gibbs,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 267 Treeland Dr, Suite C, Ladson, SC 29456 Phone: 843-277-2240  |