Individual
ANDREA NEILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2724
Mailing address
5945 SYLVAN DR, COLUMBIA, SC 29206-1549
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21419
SC
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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