Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fantasia Kimmiah Pereira

Individual provider Licensed Practical Nurse · NPI 1164169496

Fantasia Kimmiah Pereira is a Licensed Practical Nurse in Spartanburg, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022

Practice location Address checks out

250 Dewey Ave
Spartanburg, SC 29303-3009
Phone: (864) 585-0366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 52767 (SC)

Record details

NPI number1164169496
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2022
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022

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