Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Lucille Harding, APRN

Individual provider Family Nurse Practitioner · NPI 1639557531

Mary Lucille Harding, APRN is a Nurse Practitioner in Little River, South Carolina. Qualified in 2017, 9 years ago. Practices with Broadway Medical Innovation LLC, a 3-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2015
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3600 Sea Mountain Hwy Ste Main Street Physicians
Little River, SC 29566
Phone: (800) 491-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 19419 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 19419A (SC)

Record details

NPI number1639557531
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 12, 2015
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Broadway Medical Innovation Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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