Provider Demographics
NPI:1891521613
Name:O'TUEL, MELANIE HARPE (RN)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:HARPE
Last Name:O'TUEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 CAROPINE DR
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29575-4716
Mailing Address - Country:US
Mailing Address - Phone:843-439-0954
Mailing Address - Fax:
Practice Address - Street 1:215 CAROPINE DR
Practice Address - Street 2:
Practice Address - City:SURFSIDE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29575-4716
Practice Address - Country:US
Practice Address - Phone:843-439-0954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC88626163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse