Individual
BRENDA LAURA NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1304 SPRINGDALE DR, CLINTON, SC 29325-7226
(864) 833-6287
Mailing address
PO BOX 470408, CHARLOTTE, NC 28247-0408
(864) 833-6287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19607
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
19607
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3430
—
SC
01
—
SC6944
MEDICARE
SC
Enumeration date
09/05/2013
Last updated
03/12/2026
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