Individual provider · Type 1 NPI
Christine A. Statom, LPN
Licensed Practical Nurse · Waterloo, SC
NPI number
1336683192
Active
Practice location
10457 Highway 221 S
Waterloo, SC 29384-3910
Fax (864) 677-4674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | P39793 (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.
About NPI 1336683192
Christine A. Statom, LPN's National Provider Identifier is 1336683192, issued on Dec 14, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Waterloo, SC. The record was last updated on Dec 14, 2016.