Individual
TAYLOR ANIA LILIENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-RN
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
363LA2100X
Acute Care Nurse Practitioner
Primary
29588
SC
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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