Provider Demographics
NPI:1235505165
Name:KUISEL, ONNA (RN)
Entity Type:Individual
Prefix:
First Name:ONNA
Middle Name:
Last Name:KUISEL
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 1:630 HOBCAW BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8104
Mailing Address - Country:US
Mailing Address - Phone:843-860-3450
Mailing Address - Fax:
Practice Address - Street 1:1000 WARRIOR WAY
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-9241
Practice Address - Country:US
Practice Address - Phone:843-881-8252
Practice Address - Fax:843-881-8215
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC46043163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool