Individual
MRS. VELDA LISE MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
220 STONERIDGE DR, COLUMBIA, SC 29210-8018
(254) 630-8735
Mailing address
961 SCARLET OAK RD, BLYTHEWOOD, SC 29016-5818
(254) 630-8735
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
141718
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
28215A
SC
Other
Enumeration date
01/19/2006
Last updated
02/13/2024
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