Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Anida Lisa Phommatha

Individual provider Registered Nurse · NPI 1174436570

Anida Lisa Phommatha is a Registered Nurse in Florence, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

1106 Cavil Hollins Ct
Florence, SC 29501-9437
Phone: (303) 435-4233
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 285084 (SC)

Record details

NPI number1174436570
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2026
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

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