Individual provider · Type 1 NPI
Carleen Willeford, DNP
Family Nurse Practitioner · North Myrtle Beach, SC
NPI number
1164641908
Active
Practice location
416 Main St
North Myrtle Beach, SC 29582-3024
Fax (843) 663-0936
Mailing address
10 Doctors Cir, Suite 2
Supply, NC 28462-4089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN3204RX (SC) |
| Family Nurse Practitioner | 363LF0000X | 201524 (NC) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3024 (SC) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1164641908
Carleen Willeford, DNP's National Provider Identifier is 1164641908, issued on Apr 24, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Myrtle Beach, SC. The record was last updated on Nov 6, 2025.