Individual
NINA ELMORE BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MN CWOCN
Contact information
Practice address
1333 TAYLOR STREET, SUITE 4E, COLUMBIA, SC 29220
(803) 296-8906
(803) 296-8908
Mailing address
100 BRASSFIELD COURT, IRMO, SC 29063
(803) 296-8906
(803) 296-8908
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
17577
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17577
STATE RN LICENSE
SC
Enumeration date
07/13/2007
Last updated
07/13/2007
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