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

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XP13063 (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.

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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.