Individual provider · Type 1 NPI

Shannon Dawn Kretz

Licensed Practical Nurse · Conway, SC

NPI number 1710225867 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPR40574 (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 1710225867

Shannon Dawn Kretz's National Provider Identifier is 1710225867, issued on Jan 24, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Conway, SC. The record was last updated on Jan 24, 2013.