Provider Demographics
NPI:1457429979
Name:LUCE, THERESE LOUISE (ARNP, MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:THERESE
Middle Name:LOUISE
Last Name:LUCE
Suffix:
Gender:F
Credentials:ARNP, MSN, NP-C
Other - Prefix:
Other - First Name:THERESE
Other - Middle Name:L
Other - Last Name:LOVEDAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:701 GROVE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4210
Practice Address - Country:US
Practice Address - Phone:864-455-3287
Practice Address - Fax:864-455-5723
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2975052363LA2200X, 363LF0000X
SC20375363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP4202Medicaid
FL308048000Medicaid
FL308048000Medicaid
FLE8985WMedicare PIN