Sally Ann Blomgren in Worcester - Psychiatric/mental Health, Adult

Sally Ann Blomgren - NPI 1619067568

Sally Ann Blomgren is a Psychiatric/mental Health, Adult in Worcester, Massachusetts. Sally Ann Blomgren practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Sally Ann Blomgren is 1619067568. The last update date is 2016-02-26.

Sally Ann Blomgren's current location address is 78 Burncoat St, Worcester, Massachusetts. You can contact this provider via phone number 5084145469 and fax number 5088707684. The mailing address for Sally Ann Blomgren is 78 Burncoat St, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Sally Ann Blomgren
Address 78 Burncoat St, Worcester, Massachusetts
Phone Number 5084145469
Fax Number 5088707684
Sole Proprietor Y
Credentials R.N. M.S.

NPI Number Detail

NPI Number 1619067568
Provider Enumeration Date 2006-10-13
Last Updated Date 2016-02-26

Provider Mailing Address Detail

Address 78 Burncoat St
City Worcester
State Massachusetts (MA)
Post Code 16051350
Phone Number 5084145469
Fax Number 5088707684

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 364Sp0809X
Licence No 151021
Definition:
A psychiatric clinical nurse specialist expert in caring for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PN0758 MA BLUECROSS/BLUE SHIELD
2089549 MA CIGNA
1034280 MA FALLON
411421 MA MAGELLAN
471005 MA TUFTS HEALTH PLAN
7807539 MA AETNA

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FAQs about Sally Ann Blomgren

What is the unique 10-digit identifier code issued to Sally Ann Blomgren by the Centers for Medicare & Medicaid Services?

The Sally Ann Blomgren has been assigned the NPI (National Provider Identifier) 1619067568 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Sally Ann Blomgren located?

The Sally Ann Blomgren is located at 78 Burncoat St, Worcester, MA 16051350.

What is Sally Ann Blomgren's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sally Ann Blomgren is Psychiatric/mental Health, Adult, and the taxonomy code that categorizes this field of expertise is 364Sp0809X.

On what date was the 1619067568 assigned to Sally Ann Blomgren?

The Sally Ann Blomgren was issued its 1619067568 on 2006-10-13, 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 Sally Ann Blomgren, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sally Ann Blomgren, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-02-26.

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