Individual
MS. ELLEN LEE CAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, MSN, FNP
Contact information
Practice address
3864 RENEE DR, MYRTLE BEACH, SC 29579-4108
(843) 353-2111
(843) 236-0331
Mailing address
5807 FRIENDSHIP LN, MYRTLE BEACH, SC 29588-8702
(843) 251-2537
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
24192
SC
363LP2300X
Primary Care Nurse Practitioner
24192
SC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1265044267
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7815
—
SC
Enumeration date
08/20/2020
Last updated
03/29/2025
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