Blanton, Deana Alicia

Blanton, Deana Alicia is an individual health care provider with primary practice located at 203 Mills Ave , Greenville SC 29605-4019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Blanton, Deana Alicia can be contacted via phone (864) 271-1844.

Contact Information

Primary practice address
203 Mills Ave Greenville SC 29605-4019
Phone: (864) 271-1844
Fax: (864) 271-2147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209816 South Carolina

Profile Details

NPI number 1235844838
LBN Legal business name Blanton, Deana Alicia
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2023
Last updated Mar 14th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235844838 NPPES
South Carolina Other 209816 STATE LICENSE
South Carolina Other 209816 STATE LICENSE

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