Individual
SHIRLEY PAGE NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-8037
(843) 347-8056
Mailing address
490 BLACKBERRY LN, MYRTLE BEACH, SC 29579-1709
(843) 492-5588
(419) 821-8428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R67715
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0922
—
SC
Enumeration date
07/15/2006
Last updated
07/08/2007
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