IndividualActive
Andre Blizzard, LPN
NPI 1710876933 · Licensed Practical Nurse · Florence, SC
Provider details
- NPI number
- 1710876933
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0002061531 (VA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1600 Gateway Rd
Florence, SC 29501-8123
Phone: (470) 885-3990
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Gateway Rd
Florence, SC 29501-8123
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.