Individual
MS. KIRSTEN DAUTERIVE LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
890 W FARIS RD STE 580, GREENVILLE, SC 29605
(864) 455-7874
(864) 455-8933
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22644
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01132720
—
MS
05
—
2410725
—
LA
05
—
NP5989
—
SC
Enumeration date
11/19/2015
Last updated
10/26/2022
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