Elizabeth Mary Hernick, GNP-C
Nurse Practitioner, Gerontology in Greenville, SC. Individual provider (NPI-1).
NPI number1144455601
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1144455601
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elizabeth Mary Hernick
- Credential
- GNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2009
- Certification date
- Nov 24, 2021
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 19157 | SC | Yes |
| 163WG0600X | Registered Nurse, Gerontology | R106798-7 | MN |
Other names
- Elizabeth Mary Smieja (Other Name)
Practice location
Corporate Office3523 Pelham Rd, Suite C
Greenville, SC 29615-4191
Phone 864-306-0966 · Fax 864-306-2544
Mailing address
P.O. Box 14611Greenville, SC 29610-4611
Phone 864-306-0966 · Fax 864-306-2544
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