Individual
ANGELA MARIE WETLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1301 TAYLOR ST, COLUMBIA, SC 29201-2942
(803) 296-5914
(803) 296-5902
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22912
SC
363LP2300X
Primary Care Nurse Practitioner
22912
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22912
SC BOARD OF NURSING
SC
05
—
NP7107
—
SC
Enumeration date
06/20/2019
Last updated
09/08/2025
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