Provider Demographics
NPI:1841961448
Name:ERSKINE, DENISE ALEXANDRIA
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:ALEXANDRIA
Last Name:ERSKINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 HIGHWAY 413
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5120
Mailing Address - Country:US
Mailing Address - Phone:864-353-8906
Mailing Address - Fax:
Practice Address - Street 1:1441 HIGHWAY 413
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5120
Practice Address - Country:US
Practice Address - Phone:864-353-8906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer