IndividualActive
Christine Statom, LPN
NPI 1336683192 · Licensed Practical Nurse · Waterloo, SC
Provider details
- NPI number
- 1336683192
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- P39793 (SC)
Specialties & taxonomies
Nursing Service Providers
Practice location
10457 Highway 221 S
Waterloo, SC 29384-3910
Phone: (864) 677-4670
Fax: (864) 677-4674
Approximate (ZIP-level) locationGet directions
Mailing address
10457 Highway 221 S
Waterloo, SC 29384-3910
Registry dates
- Enumerated
- 2016-12-14
- Last updated
- 2016-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.