Blackwell, Katrina Linette

Blackwell, Katrina Linette is an sole proprietor health care provider with primary practice located at 6134 Gold Worthy Ct , Charlotte NC 28212-6999. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Continuing Education/Staff Development, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Blackwell, Katrina Linette can be contacted via phone (704) 207-1333.

Contact Information

Primary practice address
6134 Gold Worthy Ct Charlotte NC 28212-6999
Phone: (704) 207-1333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X 234128 North Carolina
Nursing Service Providers / Registered Nurse 163W00000X 234128 North Carolina

Profile Details

NPI number 1740849769
LBN Legal business name Blackwell, Katrina Linette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2019
Last updated Jun 12th, 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 1740849769 NPPES
North Carolina MEDICAID 1982921227

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