Individual provider · Type 1 NPI
Elizabeth G. Petty
Licensed Practical Nurse · Roebuck, SC
NPI number
1013341627
Active
Practice location
2401 E Blackstock Rd
Roebuck, SC 29376-3206
Fax (864) 595-2429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | P13063 (SC) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2 other providers at this address
Other licensed practical nurse providers in Roebuck
About NPI 1013341627
Elizabeth G. Petty's National Provider Identifier is 1013341627, issued on Aug 30, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Roebuck, SC. The record was last updated on Aug 30, 2013.