IndividualActive
Marigrace Vandeventer
NPI 1891218939 · Lactation Consultant (Registered Nurse) · Conway, SC
Provider details
- NPI number
- 1891218939
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 226954 (SC)
Specialties & taxonomies
Nursing Service Providers
Practice location
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone: (843) 234-5037
Fax: (843) 347-1541
Approximate (ZIP-level) locationGet directions
Mailing address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Registry dates
- Enumerated
- 2017-07-20
- Last updated
- 2017-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.