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Individual

KRISTINA G. ALDRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
501 ROPER MOUNTAIN RD, GREENVILLE, SC 29615-4228
(864) 770-0890
Mailing address
206 RIESLING WAY, MAULDIN, SC 29662-2855
(864) 363-8438

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25243
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25243
SC BOARD OF NURSING
SC
01
G25243
SC BOARD OF NURSING PRESCRIPTIVE AUTHORITY
SC
Enumeration date
07/16/2020
Last updated
08/25/2021
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