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Individual

MS. SUSAN NEHRENZ ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
(864) 560-4023
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
(864) 560-4023

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A1249
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP0878
SC
Enumeration date
04/07/2006
Last updated
10/11/2016
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