Provider Demographics
NPI:1215709472
Name:GARILAS, CHRISANTHE RENA (APRN)
Entity type:Individual
Prefix:
First Name:CHRISANTHE
Middle Name:RENA
Last Name:GARILAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 OVERBROOK CT APT 107
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-1369
Mailing Address - Country:US
Mailing Address - Phone:603-327-7498
Mailing Address - Fax:
Practice Address - Street 1:765 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2772
Practice Address - Country:US
Practice Address - Phone:864-520-2020
Practice Address - Fax:864-640-4400
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC285520363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health