NPI 1710225867

Shannon Dawn Kretz

Practitioner Licensed Practical Nurse Conway, SC

Practice location

Address: 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903
Phone: (843) 347-4888

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PR40574 (SC)

Other Licensed Practical Nurse providers in South Carolina →

Registry record

NPI: 1710225867
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2013
Record last updated: 24 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.