person
Fantasia Kimmiah Pereira
Licensed Practical Nurse in Spartanburg, South Carolina
NPI 1164169496

Fantasia Kimmiah Pereira is a Licensed Practical Nurse based in Spartanburg, SC. Fantasia Kimmiah Pereira practices in Spartanburg, SC. The NPI Number for Fantasia Kimmiah Pereira is 1164169496 and holds a License No. 52767 (South Carolina).

The current practice location address for Fantasia Kimmiah Pereira is 250 Dewey Ave, Spartanburg, SC and can be reached out via phone at 864-585-0366.

Location: 250 Dewey Ave, Spartanburg, SC, 29303-3009
person
Provider Profile Details
NPI Number
1164169496
Provider Name
Fantasia Kimmiah Pereira
Credential
Provider Entity Type
Individual
Gender
Female
Address
250 Dewey Ave, Spartanburg, SC, 29303-3009
Phone Number
864-585-0366
Fax Number
Provider Enumeration Date
05/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
250 Dewey Ave
City
State
Zip
29303-3009
Phone Number
864-585-0366
Fax Number
person
Provider Business Mailing Address Details
Address
250 Dewey Ave
City
State
Zip
29303-3009
Phone Number
864-585-0366
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
52767 (South Carolina)
Definition
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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