Individual
ELIZABETH J. REPEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7075 HARBOR CT, TEGA CAY, SC 29708-8534
(802) 517-0302
(803) 802-3420
Mailing address
7075 HARBOR CT, TEGA CAY, SC 29708-8534
(802) 517-0302
(803) 802-3420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004384
NC
363LF0000X
Family Nurse Practitioner
812
SC
Other
Enumeration date
04/10/2006
Last updated
05/20/2009
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