Individual
SUSAN CLAIRE NEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19043
SC
363LA2200X
Adult Health Nurse Practitioner
F305403-1
NY
Other
Enumeration date
09/23/2010
Last updated
10/09/2014
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