Provider Demographics
NPI:1508106972
Name:BEDLEK, ANNE KATHERINE (RN, MSN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:KATHERINE
Last Name:BEDLEK
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 CLEMSON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8701
Mailing Address - Country:US
Mailing Address - Phone:803-736-3183
Mailing Address - Fax:803-699-2732
Practice Address - Street 1:1300 CLEMSON RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8701
Practice Address - Country:US
Practice Address - Phone:803-736-3183
Practice Address - Fax:803-699-2732
Is Sole Proprietor?:No
Enumeration Date:2013-02-22
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCRU95765163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool