Individual
AUDREY ANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1189 SWEETGRASS BASKET PKWY, MOUNT PLEASANT, SC 29466-7422
(843) 856-1210
Mailing address
659 ISLAND PARK DR, DANIEL ISLAND, SC 29492-7587
(843) 437-0550
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
41257
SC
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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