Connie Sue Blackwell in Coon Rapids - Nurse Practitioner

Connie Sue Blackwell - NPI 1437195823

Connie Sue Blackwell is a Nurse Practitioner in Coon Rapids, Minnesota. Connie Sue Blackwell practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Connie Sue Blackwell is 1437195823. The last update date is 2011-10-13.

Connie Sue Blackwell's current location address is 10081 Dogwood St Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7637833722 and fax number 7637837944. The mailing address for Connie Sue Blackwell is 10081 Dogwood St Nw, Coon Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Connie Sue Blackwell
Address 10081 Dogwood St Nw, Coon Rapids, Minnesota
Phone Number 7637833722
Fax Number 7637837944
Sole Proprietor N
Credentials RN CNP

NPI Number Detail

NPI Number 1437195823
Provider Enumeration Date 2006-06-22
Last Updated Date 2011-10-13

Provider Mailing Address Detail

Address 10081 Dogwood St Nw
City Coon Rapids
State Minnesota (MN)
Post Code 554485281
Phone Number 7637833722
Fax Number 7637837944

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No A0813103
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2911984200 MN --
31257BL MN BLUE CROSS BLUE SHIELD
1203352 MN MEDICA

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FAQs about Connie Sue Blackwell

What is the Connie Sue Blackwell's 1437195823?

The Connie Sue Blackwell's NPI (National Provider Identifier) Number is 1437195823. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Connie Sue Blackwell's facilities are geographically located?

The facilities of Connie Sue Blackwell are physically situated at the following location: 10081 Dogwood St Nw, Coon Rapids, MN, 554485281.

What is Connie Sue Blackwell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Connie Sue Blackwell is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

When did the Connie Sue Blackwell receive its 1437195823?

The Connie Sue Blackwell was issued its 1437195823 on 2006-06-22, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Connie Sue Blackwell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Connie Sue Blackwell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-10-13.

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