Individual
MS. TRACY RAPHAELA NEILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3495 IRON HORSE RD, LADSON, SC 29456-4319
(843) 793-5970
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(874) 569-5881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17574
SC
363LF0000X
Family Nurse Practitioner
F336742-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7662
—
SC
Enumeration date
05/25/2011
Last updated
01/20/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us