Provider Demographics
NPI:1598183907
Name:PAINTER, AMY ROBINSON (RN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ROBINSON
Last Name:PAINTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:ROBINSON
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2100 BULL STREET
Mailing Address - Street 2:TB DIVISION DHEC
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201
Mailing Address - Country:US
Mailing Address - Phone:803-722-0179
Mailing Address - Fax:803-898-0685
Practice Address - Street 1:2100 BULL STREET
Practice Address - Street 2:TB DIVISION DHEC
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201
Practice Address - Country:US
Practice Address - Phone:803-722-0179
Practice Address - Fax:803-898-0685
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC78372163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health