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Individual

DEANA ALICIA SAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
203 MILLS AVE, GREENVILLE, SC 29605-4019
(864) 271-1844
(864) 271-2147
Mailing address
203 MILLS AVE, GREENVILLE, SC 29605-4019
(864) 271-1844
(864) 271-2147

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
27117
SC
363LP2300X
Primary Care Nurse Practitioner
209816
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209816
LICENSE
SC
Enumeration date
01/18/2023
Last updated
03/19/2026
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