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Shannon Dawn Kretz
Licensed Practical Nurse in Conway, South Carolina
NPI 1710225867

Shannon Dawn Kretz is a Licensed Practical Nurse based in Conway, SC. Shannon Dawn Kretz practices in Conway, SC. The NPI Number for Shannon Dawn Kretz is 1710225867 and holds a License No. PR40574 (South Carolina).

The current practice location address for Shannon Dawn Kretz is 164 Waccamaw Medical Park Dr, Conway, SC and can be reached out via phone at 843-347-4888.

Location: 164 Waccamaw Medical Park Dr, Conway, SC, 29526-8903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710225867
Provider Name
Shannon Dawn Kretz
Credential
Provider Entity Type
Individual
Gender
Female
Address
164 Waccamaw Medical Park Dr, Conway, SC, 29526-8903
Phone Number
843-347-4888
Fax Number
Provider Enumeration Date
01/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
164 Waccamaw Medical Park Dr
City
Conway
State
South Carolina
Zip
29526-8903
Phone Number
843-347-4888
Fax Number
person
Provider Business Mailing Address Details
Address
164 Waccamaw Medical Park Dr
City
Conway
State
South Carolina
Zip
29526-8903
Phone Number
843-347-4888
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PR40574 (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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