Wildman Dellos, Rachel Ann

Wildman Dellos, Rachel Ann is an individual health care provider with primary practice located at 10 Mcclennan Banks Dr , Charleston SC 29401-1164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Wildman Dellos, Rachel Ann can be contacted via phone (843) 985-1569.

Contact Information

Primary practice address
10 Mcclennan Banks Dr Charleston SC 29401-1164
Phone: (843) 985-1569
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X APRN.CNP.13049 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 24385 South Carolina

Profile Details

NPI number 1215208111
LBN Legal business name Wildman Dellos, Rachel Ann
Credentials DNP APRN-CNP NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2012
Last updated Nov 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215208111 NPPES
Ohio Other APRN.CNP.13049 OHIO APRN LICENSE
Ohio Other 104367549 OHIO APRN LICENSE
Ohio Other RN.339992 OHIO APRN LICENSE
Ohio Other 24385 OHIO APRN LICENSE

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