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Individual

MELISSA WHETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
376 MIKITA DR, MYRTLE BEACH, SC 29575-5514
(336) 266-3041
Mailing address
376 MIKITA DR, MYRTLE BEACH, SC 29575-5514
(336) 266-3041

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
184593
NC
363L00000X
Nurse Practitioner
Primary
5011279
NC
363LA2200X
Adult Health Nurse Practitioner
5011279
NC
363LG0600X
Gerontology Nurse Practitioner
5011279
NC
363LP2300X
Primary Care Nurse Practitioner
5011279
NC

Other

Enumeration date
09/26/2018
Last updated
02/07/2025
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