Individual
BRANDY VAN HEYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3236 HOLMESTOWN RD, STE E1, MYRTLE BEACH, SC 29588-7495
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
18614
SC
363LF0000X
Family Nurse Practitioner
Primary
18614
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3002
—
SC
Enumeration date
12/11/2013
Last updated
12/31/2015
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