Organization · Type 2 NPI
Davita Upstate Dialysis
Peritoneal Dialysis Registered Nurse · Greenville, SC
NPI number
1114149614
Active
Practice location
308 Mills Avenue
Greenville, SC 29605
Fax (864) 271-7929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peritoneal Dialysis Registered Nurse Primary | 163WD1100X | ERD-098 (SC) |
Peritoneal Dialysis Registered Nurse: Definition to come...
About NPI 1114149614
Davita Upstate Dialysis's National Provider Identifier is 1114149614, issued on May 3, 2007. The primary taxonomy on file is Peritoneal Dialysis Registered Nurse (163WD1100X), and the practice location is in Greenville, SC. The record was last updated on Aug 22, 2020.