person
Ms. Tracy Raphaela Neilan, NP
Family Nurse Practitioner in Ladson, South Carolina
NPI 1639462591

Tracy Raphaela Neilan is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Tracy Raphaela Neilan practices in Ladson, SC and has the professional credentials of NP. The NPI Number for Tracy Raphaela Neilan is 1639462591 and holds a License No. 17574 (South Carolina).

The current practice location address for Tracy Raphaela Neilan is 3495 Iron Horse Rd, Ladson, SC and can be reached out via phone at 843-793-5970.

Location: 3495 Iron Horse Rd, Ladson, SC, 30353-0062
person
Provider Profile Details
NPI Number
1639462591
Provider Name
Tracy Raphaela Neilan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3495 Iron Horse Rd, Ladson, SC, 30353-0062
Phone Number
843-793-5970
Fax Number
Provider Enumeration Date
05/25/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
NP7662 05 SC
institution
Provider Business Practice Location Address Details
Address
3495 Iron Horse Rd
City
State
Zip
29456-4319
Phone Number
843-793-5970
Fax Number
person
Provider Business Mailing Address Details
Address
3495 Iron Horse Rd
City
State
Zip
29456-4319
Phone Number
843-793-5970
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
17574 (South Carolina)
Definition
Definition to come...
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