Blas, Elena Rhianon

Blas, Elena Rhianon is an individual health care provider with primary practice located at 200 Patewood Dr Ste B350 , Greenville SC 29615-6337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Blas, Elena Rhianon can be contacted via phone (864) 454-4500.

Contact Information

Primary practice address
200 Patewood Dr Ste B350 Greenville SC 29615-6337
Fax: (864) 454-4505
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 18842 South Carolina

Profile Details

NPI number 1558779488
LBN Legal business name Blas, Elena Rhianon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2014
Last updated Jun 7th, 2021 - about 4 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558779488 NPPES
South Carolina MEDICAID NP2883
South Carolina MEDICAID PENDING

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