Individual
KATHRYN PAGE RARICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 455-6900
(864) 255-5619
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
21800
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
21800
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5213
—
SC
Enumeration date
04/05/2018
Last updated
05/14/2021
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