Individual
ELLEN M O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4050 BRIDGE VIEW DR STE 600, NORTH CHARLESTON, SC 29405-8415
(843) 953-0038
Mailing address
4 PORTSMOUTH CIR, CHARLESTON, SC 29407-3442
(843) 817-6949
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
225450
SC
163WS0200X
School Registered Nurse
225450
SC
Other
Enumeration date
01/01/2019
Last updated
01/01/2019
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