Most Relevant Information
Provider Data
| NPI Number: | 1003033143 |
| Provider Name: | NANCY SHANNON PATERNA LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN5156746 |
Most Important Dates
| Enumeration Date: | 04/19/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2200 LLOYD DR
SUMTER
SC
291548819
Practice Location Phone/Fax
| Phone: | 8034815054 |
| Fax: |
Provider Mailing Location
2200 LLOYD DR
SUMTER
SC
291548819
Provider Mailing Phone/Fax
| Phone: | 8034815054 |
| Fax: |