AUNDREA PROVENCE

Registered Nurse

Active Individual
NPI: 1669059093

Practice Address

1361 RAIL FENCE DR
Columbia, SC 29212

Phone: (803) 476-7906

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 239975 (SC)

Frequently Asked Questions

NPI 1669059093 is the National Provider Identifier for AUNDREA PROVENCE, a Registered Nurse provider located in Columbia, SC. This NPI was enumerated on March 24, 2021.
AUNDREA PROVENCE practices at 1361 RAIL FENCE DR, Columbia, SC 29212.

Quick Facts

NPI
1669059093
Type
Individual
Enumerated
Mar 24, 2021
Last Updated
Mar 24, 2021

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