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

Sandra Defalco, FNP

Individual provider Family Nurse Practitioner · NPI 1306390430

Sandra Defalco, FNP is a Nurse Practitioner in Clover, South Carolina. Qualified in 2016, 10 years ago. Practices with Minuteclinic Diagnostic South Carolina LLC, a 110-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
10
Licensed in
NC, SC
In the registry since
2016
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

4724 Charlotte Hwy
Clover, SC 29710-8095
Phone: (866) 389-2727
Show map & directions

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

Additional practice locations (1)

  • 14125 Steele Creek Rd, Charlotte, NC 28273-3968 — (704) 504-8199

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20227 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence DEFA-B904U1 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5008816 (NC)

Record details

NPI number1306390430
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 5, 2016
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address2420 Ivy Creek Frd, York, SC 29745-8146

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Minuteclinic Diagnostic South Carolina Llc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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