Individual
PAULA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
146 SUNVIEW RD, PROSPERITY, SC 29127-9027
(803) 351-5693
Mailing address
146 SUNVIEW RD, PROSPERITY, SC 29127-9027
(803) 351-5693
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
59443
SC
251300000X
Local Education Agency (LEA)
59443
SC
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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