Individual
DACIA HELEN WOESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 695-1000
Mailing address
408 PALM FROND DR, MYRTLE BEACH, SC 29588-6374
(843) 902-4026
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
21487
SC
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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