Provider Demographics
NPI:1669201844
Name:PRITCHARD, LAURINA (MSN, APRN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:LAURINA
Middle Name:
Last Name:PRITCHARD
Suffix:
Gender:F
Credentials:MSN, APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 AMENDMENT AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3036
Mailing Address - Country:US
Mailing Address - Phone:803-329-2700
Mailing Address - Fax:803-329-2788
Practice Address - Street 1:165 AMENDMENT AVE
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3036
Practice Address - Country:US
Practice Address - Phone:803-329-2700
Practice Address - Fax:803-329-2788
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC105706163WP0200X
SCAPN.29096363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner