Healthcare Provider Details

I. General information

NPI: 1881598050
Provider Name (Legal Business Name): AMANDA DANIELLE PACE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 GROVE RD
GREENVILLE SC
29605-4295
US

IV. Provider business mailing address

23 MANDARIN CIR
TAYLORS SC
29687-6968
US

V. Phone/Fax

Practice location:
  • Phone: 864-455-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number32515
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: