Individual
MARY NEIDHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 HOWARD MARY DR UNIT B, CHARLESTON, SC 29412-9581
(860) 539-8681
Mailing address
114 HOWARD MARY DR UNIT B, CHARLESTON, SC 29412-9581
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
261407
SC
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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