Individual
ELLEN IANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN BC
Contact information
Practice address
7075 SWANSONG CIR, MYRTLE BEACH, SC 29579-4363
(856) 912-7239
(856) 912-7239
Mailing address
7075 SWANSONG CIR, MYRTLE BEACH, SC 29579-4363
(856) 912-7239
(856) 912-7239
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
22867
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130371
—
NJ
Enumeration date
03/27/2007
Last updated
08/15/2019
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