Areephanthu, Daphne Jo
Areephanthu, Daphne Jo is an individual health care provider with primary practice located at 10 Enterprise Blvd Ste 201 , Greenville SC 29615-3554. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Areephanthu, Daphne Jo can be contacted via phone (864) 295-6399.Contact Information
Primary practice address
10 Enterprise Blvd Ste 201
Greenville SC 29615-3554
Phone: (864) 295-6399
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 24613 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 24613 | South Carolina |
Profile Details
NPI number | 1073104790 |
---|---|
LBN Legal business name | Areephanthu, Daphne Jo |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2021 |
Last updated | Mar 28th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073104790 | NPPES |
South Carolina | MEDICAID | NP7428 |
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