Provider Demographics
NPI:1740533462
Name:TODD, STEPANIE M (LPN)
Entity type:Individual
Prefix:MRS
First Name:STEPANIE
Middle Name:M
Last Name:TODD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:979 TOOK PL
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6505
Mailing Address - Country:US
Mailing Address - Phone:571-258-8400
Mailing Address - Fax:
Practice Address - Street 1:979 TOOK PL
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6505
Practice Address - Country:US
Practice Address - Phone:571-258-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC33242164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse