Provider Demographics
NPI:1922421619
Name:AIKEN, DEBBIE (CNA)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:
Last Name:AIKEN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 ALBRITTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-3003
Mailing Address - Country:US
Mailing Address - Phone:803-727-0220
Mailing Address - Fax:
Practice Address - Street 1:1604 ALBRITTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-3003
Practice Address - Country:US
Practice Address - Phone:803-727-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC105194E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide