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Individual

MRS. ELIZABETH MARY HERNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP-C

Contact information

Practice address
CORPORATE OFFICE, 3523 PELHAM RD, SUITE C, GREENVILLE, SC 29615-4191
(864) 306-0966
(864) 306-2544
Mailing address
P.O. BOX 14611, GREENVILLE, SC 29610-4611
(864) 306-0966
(864) 306-2544

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R106798-7
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
19157
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3148
SC
Enumeration date
05/27/2009
Last updated
10/11/2024
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