OrganizationActive
Angelic Health Practice Group
NPI 1891448064 · Community Health Nurse Practitioner · Myrtle Beach, SC
Provider details
- NPI number
- 1891448064
- Entity type
- Organization
- Primary specialty
- Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Dan Mikus, Ceo
Practice location
923c Medical Circle
Myrtle Beach, SC 29572
Phone: (843) 356-9078
Fax: (843) 356-4086
Mailing address
8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967
Registry dates
- Enumerated
- 2022-01-28
- Last updated
- 2024-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.