Individual provider · Type 1 NPI

Lisa Fanning Etheridge, FNP/APRN

Family Nurse Practitioner · Orangeburg, SC

NPI number 1245784669 Active

About NPI 1245784669

Lisa Fanning Etheridge, FNP/APRN's National Provider Identifier is 1245784669, issued on Aug 15, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orangeburg, SC. The record was last updated on Jul 21, 2022.