Blankson, Mary L
Blankson, Mary L is an individual health care provider with primary practice located at 1 Shaws Cv , New London CT 06320-4902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blankson, Mary L can be contacted via phone (860) 447-8304.Contact Information
Primary practice address
1 Shaws Cv
New London CT 06320-4902
Phone: (860) 447-8304
Fax: (860) 443-8720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 003321 | Connecticut |
Profile Details
| NPI number | 1972587582 |
|---|---|
| LBN Legal business name | Blankson, Mary L |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Nov 29th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972587582 | NPPES |
| Connecticut | MEDICAID | 008011052 |
Popular Providers
-
Ligon, Elizabeth
7 Vauxhall St , New London CT 06320-5711 -
Kurey, Kimberly A
400 Bayonet St Ste 206 , New London CT 06320-2633 -
O'Connell, Laura M
255 Hempstead St , New London CT 06320-6204 -
Bennhoff, Aymi Serena
270 Mohegan Ave , New London CT 06320-4125 -
Luther, Katherine Joanne
365 Montauk Ave , New London CT 06320-4700 -
Moffett, Catharine
45 Franklin St , New London CT 06320-5920 -
Smith, Teresa Little
435 Montauk Ave , New London CT 06320-4621 -
Credit, Scott M.
194 Howard St , New London CT 06320-5544