Individual
AQUILLA LAPORSHA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LINWA BLVD, ANDERSON, SC 29621-4486
(864) 260-2220
Mailing address
1 LINWA BLVD, ANDERSON, SC 29621-4486
(864) 260-2220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233546
SC
163WP0808X
Psychiatric/Mental Health Registered Nurse
233546
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
08/15/2022
Last updated
05/16/2025
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