Individual provider · Type 1 NPI

Manda Rae Wetzel, FNP

Family Nurse Practitioner · Myrtle Beach, SC

NPI number 1295374692 Active

Practice location

809 82nd Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

112 Sparks Dr
Forest City, NC 28043-9021

Other practice locations

  • 9600 Two Notch Rd Ste 5, Columbia, SC 29223-1612 · (205) 753-5699
  • 2 Hampstead Pl, Greer, SC 29650-3659 · (704) 675-7279

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X23454 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1295374692

Manda Rae Wetzel, FNP's National Provider Identifier is 1295374692, issued on Jan 2, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Aug 17, 2026.