Provider Demographics
NPI:1699295964
Name:REARDEN, SUNSHINE ADAMS (DNP, APRN, PNP-PC)
Entity type:Individual
Prefix:DR
First Name:SUNSHINE
Middle Name:ADAMS
Last Name:REARDEN
Suffix:
Gender:F
Credentials:DNP, APRN, PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 MARINA DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29440-2410
Mailing Address - Country:US
Mailing Address - Phone:843-833-8595
Mailing Address - Fax:843-833-8599
Practice Address - Street 1:435 MARINA DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:SC
Practice Address - Zip Code:29440-2410
Practice Address - Country:US
Practice Address - Phone:843-833-8595
Practice Address - Fax:843-833-8599
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21033363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care