Andrea Blakeman
Nurse Practitioner - Community Health
1131 Saluda St
Rock Hill
, South Carolina 29730-5776
Andrea Blakeman
Nurse Practitioner - Community Health
1131 Saluda St
Rock Hill
, South Carolina 29730-5776
(704) 579-9046
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Andrea Blakeman
- 1614 Williams Rd
- Fort Mill, SC
- Zip : 29715-7037
- Phone : (704) 579-9046
Second Address
- Andrea Blakeman
- 1131 Saluda St
- Rock Hill, SC
- Zip : 29730-5776
- Fax : (803) 325-1117
- Phone : (803) 325-7744
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 23340 | SC |
National Provider Identifier
| NPI | 1053954438 |
|---|---|
| Provider Name | Andrea Blakeman |
| First Address | Fort Mill, SC 29715-7037 |
| Second Address | Rock Hill, SC 29730-5776 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2019 |
| Last Update Date | 01/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.