Individual provider · Type 1 NPI

Amy Peterson

Licensed Practical Nurse · Myrtle Beach, SC

NPI number 1316857725 Active

Practice location

1607 Executive Ave
Myrtle Beach, SC 29577-6501

Fax (843) 945-1022

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X53203 (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.

14 other providers at this address

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About NPI 1316857725

Amy Peterson's National Provider Identifier is 1316857725, issued on Sep 9, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 9, 2026.