| Mrs India Blandon Richardson, FNP | |
|
2430 Alumni Dr., Center For Student Wellness, Rock Hill, SC 29730 | |
| (803) 323-2206 | |
| (803) 323-3332 |
| Full Name | Mrs India Blandon Richardson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2430 Alumni Dr., Rock Hill, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285234203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5013739 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 26868 (South Carolina) | Primary |
| Entity Name | Hospice Care Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174956098 PECOS PAC ID: 7113928961 Enrollment ID: O20140326001862 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs India Blandon Richardson, FNP 2430 Alumni Dr., Center For Student Wellness, Rock Hill, SC 29730 Ph: (803) 323-2206 | Mrs India Blandon Richardson, FNP 2430 Alumni Dr., Center For Student Wellness, Rock Hill, SC 29730 Ph: (803) 323-2206 |
Mrs. Mary Jo Barreto, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Winthrop University Health Services, Rock Hill, SC 29733 Phone: 803-323-2206 Fax: 803-323-3332 | |
Kenyate Bradley, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2450 India Hook Rd, Rock Hill, SC 29732 Phone: 803-366-7443 | |
Ms. Wanda Kaye Clark, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1151 Camden Ave, Rock Hill, SC 29732 Phone: 803-909-6363 Fax: 803-909-6364 | |
Marta Pacheco, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1617 Shetland Ln, Rock Hill, SC 29730 Phone: 540-797-4361 | |
Andrea Blakeman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1131 Saluda St, Rock Hill, SC 29730 Phone: 803-325-7744 Fax: 803-325-1117 | |
Sarah Elizabeth Christ, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Amendment Ave, Rock Hill, SC 29732 Phone: 803-324-7607 Fax: 800-332-4409 | |
Sarah Lyn Ruhland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732 Phone: 803-324-1950 Fax: 803-324-1933 |