Individual
MRS. SUSAN KATHLEEN REDOVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(330) 284-2010
Mailing address
232 MONTALCINO WAY, SIMPSONVILLE, SC 29681-6631
(330) 284-2010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22282
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2813763
—
OH
Enumeration date
07/17/2007
Last updated
12/28/2018
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