Individual
CELIA EVAN CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
7666 CHARLOTTE HWY STE 120, INDIAN LAND, SC 29707-7003
(822) 080-3431
Mailing address
7776 CHARLOTTE HWY, SUITE 120, FORT MILL, SC 29707
(803) 431-8220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
274131
TN
163W00000X
Registered Nurse
279666
SC
363LF0000X
Family Nurse Practitioner
Primary
29398
SC
Other
Enumeration date
09/21/2024
Last updated
11/07/2024
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