Individual
NANCY B CORDOVA LELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 E MAIN ST, EASLEY, SC 29640-3791
(888) 465-3880
Mailing address
1653 E MAIN ST, EASLEY, SC 29640-3791
(888) 465-3880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207826
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29911
SC
Other
Enumeration date
03/30/2011
Last updated
02/24/2025
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