Individual
HEATHER RENEE RYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-3039
(843) 792-1414
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
21387
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4912
—
SC
Enumeration date
04/03/2007
Last updated
07/18/2023
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