ANDRE LOTRICK BLIZZARD LPN
NPI 1710876933
Licensed Practical Nurse in Florence, SC

Active since July 01, 2025
1600 GATEWAY RD, FLORENCE, SC 29501(470) 885-3990 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andre Lotrick Blizzard Lpn NPPES

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

ANDRE LOTRICK BLIZZARD LPN (NPI 1710876933) is an individual licensed practical nurse in Florence, South Carolina, licensed in Virginia (0002061531) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1710876933
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameANDRE LOTRICK BLIZZARDCredential: LPN
Location Address1600 GATEWAY RDFlorence, SC 29501-8123
Mailing Address1600 Gateway RdFlorence, SC 29501-8123 · (470) 885-3990
Sole ProprietorYes
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
NPI 1710876933 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 VA · 0002061531
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.
1600 GATEWAY RD, Florence, SC 29501

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 Andre Blizzard's NPI number?

The NPI number for Andre Blizzard is 1710876933. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Andre Blizzard located?

Andre Blizzard practices at 1600 Gateway Rd, Florence, SC 29501. The listed phone number is (470) 885-3990.

What is Andre Blizzard'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 Andre Blizzard was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.