Provider Demographics
NPI:1669989083
Name:BABICI, ANDREEA IULIA (RN)
Entity type:Individual
Prefix:
First Name:ANDREEA
Middle Name:IULIA
Last Name:BABICI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4265 N BLUE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-4960
Mailing Address - Country:US
Mailing Address - Phone:404-409-9197
Mailing Address - Fax:
Practice Address - Street 1:4265 N BLUE RIDGE DR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-4960
Practice Address - Country:US
Practice Address - Phone:404-409-9197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC241898163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC241898OtherSOUTH CAROLINA BOARD OF NURSING