Individual
ELIZABETH BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2051 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 573-2535
(843) 573-2534
Mailing address
2051 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 573-2535
(843) 573-2534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
560
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0122
—
SC
Enumeration date
08/29/2006
Last updated
11/26/2013
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