Individual
MRS. ELIZABETH ANN VANDEVELDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
129 NORTH WASHINGTON, TUOMEY HEALTHCARE SYSTEM, SUMTER, SC 29152
(803) 774-5248
Mailing address
535 BATTY WAY, SUMTER, SC 29154-8156
(803) 607-9070
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9413942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4286
SC LLR
SC
01
—
54-04286
SC DHEC
SC
01
—
A0796043
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
07/21/2008
Last updated
08/16/2019
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