Kelli Lynn Blagg is a Family in Waterloo, Illinois. Kelli Lynn Blagg practices all healthcare services and medical treatments related to Family. The NPI Number for Kelli Lynn Blagg is 1679676738. The last update date is 2015-09-18.
Kelli Lynn Blagg's current location address is 509 Hamacher St 205, Waterloo, Illinois. You can contact this provider via phone number 6186280715 and fax number 8883714468. The mailing address for Kelli Lynn Blagg is 509 Hamacher St 205, Waterloo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli Lynn Blagg |
|---|---|
| Address | 509 Hamacher St 205, Waterloo, Illinois |
| Phone Number | 6186280715 |
| Fax Number | 8883714468 |
| Sole Proprietor | N |
| Credentials | FNP APN |
NPI Number Detail
| NPI Number | 1679676738 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2015-09-18 |
Provider Mailing Address Detail
| Address | 509 Hamacher St 205 |
|---|---|
| City | Waterloo |
| State | Illinois (IL) |
| Post Code | 622981592 |
| Phone Number | 6186280715 |
| Fax Number | 8883714468 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 209005102 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00322001 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Kelli Lynn Blagg by the Centers for Medicare & Medicaid Services?
The Kelli Lynn Blagg has been assigned the NPI (National Provider Identifier) 1679676738. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kelli Lynn Blagg is physically located?
The Kelli Lynn Blagg is situated at the following address: 509 Hamacher St 205, Waterloo, IL 622981592.
What is Kelli Lynn Blagg's area of expertise and its corresponding taxonomy classification?
The Kelli Lynn Blagg's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1679676738 assigned to Kelli Lynn Blagg?
The Kelli Lynn Blagg was issued its 1679676738 on 2006-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kelli Lynn Blagg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelli Lynn Blagg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-18.
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