Individual
ELAINE AMELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
99 JONATHAN LUCAS ST, ROOM 410, CHARLESTON, SC 29425-8900
(843) 792-4627
Mailing address
1545 LANDINGS RUN, MT PLEASANT, SC 29464-7716
(843) 792-4627
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
R 76317
SC
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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