Individual
VAIDA O'RYLEY SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3780 WATERFORD DR, MYRTLE BEACH, SC 29577-5845
(843) 446-6192
Mailing address
3780 WATERFORD DR, MYRTLE BEACH, SC 29577-5845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32342
SC
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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