Phillips, Nataska Renee

Phillips, Nataska Renee is an individual health care provider with primary practice located at 500 Mills Ave Ste B , Greenville SC 29605-4280. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Phillips, Nataska Renee can be contacted via phone (864) 320-4117.

Contact Information

Primary practice address
500 Mills Ave Ste B Greenville SC 29605-4280
Phone: (864) 320-4117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X South Carolina
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1497421416
LBN Legal business name Phillips, Nataska Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 10th, 2023 - 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 1497421416 NPPES
South Carolina MEDICAID 831413506

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