Individual provider · Type 1 NPI
Prudence Melinda Olsen, PA-C
Medical Physician Assistant · Surfside Beach, SC
NPI number
1619228145
Active
Practice location
1120 Glenns Bay Rd
Surfside Beach, SC 29575-4757
Fax (843) 215-5512
Mailing address
1552 Heathmuir Dr
Myrtle Beach, SC 29575-5370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 271 (SC) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Coastal Podiatry Associates PAFoot & Ankle Surgery Podiatrist Surfside Beach, SC NPI 1851425763
- South Carolina Podiatric Physicians and Surgeons Group, LLCPodiatrist Surfside Beach, SC NPI 1659797157
- Alfred Jess Tomlinson, MDOphthalmology Physician Surfside Beach, SC NPI 1649229535
- Peggy Yvonne Lively, ARNPFamily Nurse Practitioner Surfside Beach, SC NPI 1033239678
Other medical physician assistant providers in Surfside Beach
About NPI 1619228145
Prudence Melinda Olsen, PA-C's National Provider Identifier is 1619228145, issued on Sep 24, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Surfside Beach, SC. The record was last updated on Sep 24, 2012.