Blackburn, Amy

Blackburn, Amy is an individual health care provider with primary practice located at 4041 S Mcclintock Dr Ste 302 , Tempe AZ 85282-5879. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Blackburn, Amy can be contacted via phone (480) 339-1780.

Contact Information

Primary practice address
4041 S Mcclintock Dr Ste 302 Tempe AZ 85282-5879
Phone: (480) 339-1780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN109983 Arizona

Profile Details

NPI number 1154983245
LBN Legal business name Blackburn, Amy
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2019
Last updated Jun 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154983245 NPPES
Arizona Other 46-3827580 ADOBE CARE AND WELLNESS LLC

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