Provider Demographics
NPI:1285466920
Name:AIKEN, ANDREANE RANA
Entity type:Individual
Prefix:
First Name:ANDREANE
Middle Name:RANA
Last Name:AIKEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PARIS
Other - Middle Name:
Other - Last Name:LOGISTICS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:726 PENNYWELL CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8439
Mailing Address - Country:US
Mailing Address - Phone:843-610-2817
Mailing Address - Fax:
Practice Address - Street 1:726 PENNYWELL CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8439
Practice Address - Country:US
Practice Address - Phone:843-610-2817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)