Organization · Type 2 NPI
Angelic Health Practice Group
Community Health Nurse Practitioner · Myrtle Beach, SC
NPI number
1891448064
Active
Practice location
923C Medical Circle
Myrtle Beach, SC 29572
Fax (843) 356-4086
Mailing address
8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Community Health Nurse Practitioner Primary | 363LC1500X | None listed |
Community Health Nurse Practitioner: Definition to come...
About NPI 1891448064
Angelic Health Practice Group's National Provider Identifier is 1891448064, issued on Jan 28, 2022. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jan 12, 2024.