Individual
AMELIA LOUISE POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 876-5369
Mailing address
7890 SKILLMASTER CT APT C, NORTH CHARLESTON, SC 29418-2276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
237919
SC
367500000X
Certified Registered Nurse Anesthetist
237919
SC
Other
Enumeration date
04/28/2023
Last updated
05/01/2023
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