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CHRISTINE A STATOM LPN
NPI 1336683192
Licensed Practical Nurse in Waterloo, SC

Active since December 14, 2016
10457 HIGHWAY 221 S, WATERLOO, SC 29384(864) 677-4670(864) 677-4674 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christine A Statom Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE A STATOM LPN (NPI 1336683192) is an individual licensed practical nurse in Waterloo, South Carolina, licensed in South Carolina (P39793) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1336683192
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHRISTINE A STATOMCredential: LPN
Location Address10457 HIGHWAY 221 SWaterloo, SC 29384-3910
Mailing Address10457 Highway 221 SWaterloo, SC 29384-3910 · (864) 677-4670 · Fax (864) 677-4674
Phone(864) 677-4670
Fax(864) 677-4674
Sole ProprietorNo
Enumeration DateDecember 14, 2016
✔ NPI 1336683192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in SC · P39793
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

10457 HIGHWAY 221 S, Waterloo, SC 29384
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Statom's NPI number?

The NPI number for Christine Statom is 1336683192. It was assigned to this individual provider in the NPPES registry on December 14, 2016.

Where is Christine Statom located?

Christine Statom practices at 10457 Highway 221 S, Waterloo, SC 29384. The listed phone number is (864) 677-4670.

What is Christine Statom's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Christine Statom was last updated on December 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.