Individual
SUSAN ELIZABETH PETRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1301 TAYLOR ST, COLUMBIA, SC 29201-2942
(803) 296-5914
(803) 296-5902
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21946
SC
363LF0000X
Family Nurse Practitioner
APN.0991071-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26436060
—
CO
05
—
NP5546
—
SC
Enumeration date
06/04/2014
Last updated
03/13/2023
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