ELISA DEN OUTER CARLSON

LEXINGTON, SC
NPI1336863927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  27372)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-09-28
Last Update Date2023-06-27
Business Address
ELISA DEN OUTER CARLSON
128 LIBRARY HILL LN
LEXINGTON, SC 29072-3893
Phone number: 803-520-5940
Mailing Address
ELISA DEN OUTER CARLSON
128 LIBRARY HILL LN
LEXINGTON, SC 29072-3893
Phone number: 803-520-5940