Blanken, Mary

Blanken, Mary is an individual health care provider with primary practice located at 11800 Tech Rd Suite 240, Silver Spring MD 20904-1987. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Blanken, Mary can be contacted via phone (301) 754-7740.

Contact Information

Primary practice address
11800 Tech Rd Suite 240 Silver Spring MD 20904-1987
Phone: (301) 754-7740
Fax: (301) 754-7743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R098788 Maryland

Profile Details

NPI number 1235192014
LBN Legal business name Blanken, Mary
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 1st, 2007 - about 17 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 1235192014 NPPES
Maryland Other R098788 LICENSE

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