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MRS. PRUDENCE MELINDA OLSEN PA-C
NPI 1619228145
Physician Assistant - Medical in Surfside Beach, SC

Active since September 24, 2012
1120 GLENNS BAY RD, SURFSIDE BEACH, SC 29575(843) 215-5492(843) 215-5512 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Prudence Melinda Olsen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PRUDENCE MELINDA OLSEN PA-C (NPI 1619228145) is an individual medical provider in Surfside Beach, South Carolina, licensed in South Carolina (271) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1619228145
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. PRUDENCE MELINDA OLSENCredential: PA-C
Location Address1120 GLENNS BAY RDSurfside Beach, SC 29575-4757
Mailing Address1552 Heathmuir DrMyrtle Beach, SC 29575-5370 · (843) 995-1136
Phone(843) 215-5492
Fax(843) 215-5512
Sole ProprietorNo
Enumeration DateSeptember 24, 2012
✔ NPI 1619228145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · 271
1120 GLENNS BAY RD, Surfside Beach, SC 29575
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEGGY YVONNE LIVELY ARNP
Nurse Practitioner (Family)
1120 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 215-5492
ALFRED JESS TOMLINSON M.D.
Ophthalmology
1120 GLENNS BAY RD, SUITE 106
SURFSIDE BEACH, SC 29575
Horry County (843) 650-1111
SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Podiatrist
1120 GLENNS BAY RD, SUITE 103
SURFSIDE BEACH, SC 29575
Horry County (843) 449-8079
COASTAL PODIATRY ASSOCIATES PA
Podiatrist (Foot & Ankle Surgery)
1120 GLENNS BAY RD, SUITE 103
SURFSIDE BEACH, SC 29575
Horry County (843) 449-8079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prudence Olsen's NPI number?

The NPI number for Prudence Olsen is 1619228145. It was assigned to this individual provider in the NPPES registry on September 24, 2012.

Where is Prudence Olsen located?

Prudence Olsen practices at 1120 Glenns Bay Rd, Surfside Beach, SC 29575. The listed phone number is (843) 215-5492.

What is Prudence Olsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Prudence Olsen was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.