Individual
SHELLIE VANNATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 N HIGHWAY 17 UNIT 1800N, MOUNT PLEASANT, SC 29466-6836
(740) 835-1557
Mailing address
2011 N HIGHWAY 17 UNIT 1800N, MOUNT PLEASANT, SC 29466-6836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
240112
SC
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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