Dana L Blanks in Brockton - Pediatrics

Dana L Blanks - NPI 1750593935

Dana L Blanks is a Pediatrics in Brockton, Massachusetts. Dana L Blanks practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dana L Blanks is 1750593935. The last update date is 2007-07-08.

Dana L Blanks's current location address is 201 Quincy Street, Brockton, Massachusetts. You can contact this provider via phone number 5085841890 and fax number 5085803332. The mailing address for Dana L Blanks is 201 Quincy Street, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Dana L Blanks
Address 201 Quincy Street, Brockton, Massachusetts
Phone Number 5085841890
Fax Number 5085803332
Sole Proprietor N
Credentials RN,CPNP

NPI Number Detail

NPI Number 1750593935
Provider Enumeration Date 2007-05-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 201 Quincy Street
City Brockton
State Massachusetts (MA)
Post Code 2302
Phone Number 5085841890
Fax Number 5085803332

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 216049
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NP9964 MA BCBSMA

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FAQs about Dana L Blanks

What is the Dana L Blanks's unique identification number?

The Dana L Blanks has been assigned the NPI (National Provider Identifier) Number 1750593935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Dana L Blanks's facilities are situated?

The facilities of Dana L Blanks are physically located at the following address: 201 Quincy Street, Brockton, MA, 2302.

What is the Dana L Blanks's specialty and taxonomy code?

The Dana L Blanks's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.

On what date did Dana L Blanks receive its 1750593935 assignment from the Centers for Medicare & Medicaid Services?

The Dana L Blanks was assigned its 1750593935 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Dana L Blanks most recently updated or revised?

The details related to Dana L Blanks, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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