Organization
SALT MARSH HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA M THEILEN MSN, APRN, ANP-BC (ADULT NURSE PRACTITIONER)
(314) 616-8114
Entity
Organization
Contact information
Practice address
21 CHESTERTON CT, BLUFFTON, SC 29910-7332
(314) 616-8114
Mailing address
21 CHESTERTON CT, BLUFFTON, SC 29910-7332
(314) 616-8114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
09/22/2020
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