Individual provider · Type 1 NPI

Shambreka Eaddy

Licensed Practical Nurse · Florence, SC

NPI number 1205728573 Active

Practice location

661 S Aline St
Florence, SC 29506-3203

Call (843) 758-2454 Map

Mailing address

707 Norfolk St
Florence, SC 29506-6403

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X51319 (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 1205728573

Shambreka Eaddy's National Provider Identifier is 1205728573, issued on Jul 19, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Florence, SC. The record was last updated on Jul 19, 2025.