Individual
RICHELLE LEE PEVELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-2018
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
21943
SC
363L00000X
Nurse Practitioner
4704268349
MI
363LF0000X
Family Nurse Practitioner
Primary
21943
SC
Other
Enumeration date
12/09/2013
Last updated
03/02/2022
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