Provider Demographics
NPI:1316706518
Name:BATTLE, CHANEE VAUSE (RN)
Entity type:Individual
Prefix:
First Name:CHANEE
Middle Name:VAUSE
Last Name:BATTLE
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 1:3267 PARK RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29130-8395
Mailing Address - Country:US
Mailing Address - Phone:803-431-1783
Mailing Address - Fax:
Practice Address - Street 1:3267 PARK RD
Practice Address - Street 2:
Practice Address - City:RIDGEWAY
Practice Address - State:SC
Practice Address - Zip Code:29130-8395
Practice Address - Country:US
Practice Address - Phone:803-318-0217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC102901163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse