Dutton, Elysa

Dutton, Elysa is an individual health care provider with primary practice located at 5133 Rivers Ave , N Charleston SC 29406-6338. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dutton, Elysa can be contacted via phone (843) 789-1786.

Contact Information

Primary practice address
5133 Rivers Ave N Charleston SC 29406-6338
Phone: (843) 789-1786
Fax: (843) 958-1263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22073 South Carolina

Profile Details

NPI number 1740760701
LBN Legal business name Dutton, Elysa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2018
Last updated Aug 30th, 2021 - about 3 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 1740760701 NPPES
South Carolina MEDICAID NP5379

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