| Ms Cori Elizabeth Sondervan, APN, FNP-C | |
| 
					1671 Belle Isle Ave Ste 110j, Mt Pleasant, SC 29464-8336  | |
| (844) 994-6633 | |
| (470) 300-7913 | 
| Full Name | Ms Cori Elizabeth Sondervan | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1671 Belle Isle Ave Ste 110j, Mt Pleasant, 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 | 
|---|---|---|---|
| 1710433792 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00665200 (New Jersey) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 28000 (South Carolina) | Primary | 
| Entity Name | Roper Saint Francis Physicians Network | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1124431606 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405  | 
| Entity Name | Gomed Charleston Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790254365 PECOS PAC ID: 6608114251 Enrollment ID: O20190206003330  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Cori Elizabeth Sondervan, APN, FNP-C Po Box 751649, Charlotte, NC 28275-1649 Ph: (888) 472-0043  | Ms Cori Elizabeth Sondervan, APN, FNP-C 1671 Belle Isle Ave Ste 110j, Mt Pleasant, SC 29464-8336 Ph: (844) 994-6633  | 
Jennifer Weber, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 966 Houston Northcutt Blvd, Suite G, Mt Pleasant, SC 29464 Phone: 843-388-6334 Fax: 843-388-6545  | |
Amanda Bergdorf Pyrda, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 897 Von Kolnitz Rd Ste 101, Mt Pleasant, SC 29464 Phone: 843-534-1770  | |
Whitney Hartman,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 N Highway 17 Ste 110, Mt Pleasant, SC 29466 Phone: 843-606-8975 Fax: 843-606-8976  | |
Monica Ann Molloy, MSN, APRN, BC, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1470 Ben Sawyer Blvd, Waterside Medical Group, Mt Pleasant, SC 29464 Phone: 843-972-0262  | |
Dr. Kayla Marie Windham, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 570 Long Point Rd Ste 130, Mt Pleasant, SC 29464 Phone: 843-884-2133  | |
Margaret B Bryant, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1106 Chuck Dawley Blvd Ste 200, Mt Pleasant, SC 29464 Phone: 843-849-1551  | |
Kimberly R Wright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Hospital Dr, Mt Pleasant, SC 29464 Phone: 843-884-1341 Fax: 843-884-1345  |