Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mary Neidhardt

Individual provider Family Nurse Practitioner · NPI 1871477489

Mary Neidhardt is a Family Nurse Practitioner in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2025.

Licensed in
SC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

114 Howard Mary Dr Unit B
Charleston, SC 29412-9581
Phone: (860) 539-8681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.32846 (SC)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence 261407 (SC)

Record details

NPI number1871477489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2025
Last updated in NPPESOctober 5, 2026
Certification dateOctober 5, 2026

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