Healthcare Provider Details

I. General information

NPI: 1669201844
Provider Name (Legal Business Name): LAURINA PRITCHARD MSN, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 SALUDA ST
ROCK HILL SC
29730-6225
US

IV. Provider business mailing address

PO BOX 28
ROCK HILL SC
29731-6028
US

V. Phone/Fax

Practice location:
  • Phone: 803-325-7744
  • Fax:
Mailing address:
  • Phone: 803-325-7744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPN.29096.RX
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.29096
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: