Blanton, Holly A

Blanton, Holly A is an individual health care provider with primary practice located at 32014 Little Boston Rd Ne , Kingston WA 98346-9734. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Blanton, Holly A can be contacted via phone (360) 297-9601.

Contact Information

Primary practice address
32014 Little Boston Rd Ne Kingston WA 98346-9734
Phone: (360) 297-9601
Fax: (360) 297-9614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN00138315 Washington

Profile Details

NPI number 1952596629
LBN Legal business name Blanton, Holly A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Sep 6th, 2007 - about 18 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 1952596629 NPPES
Washington MEDICAID 7094964
Washington MEDICAID 7407703
Washington Other 50-1839
Washington MEDICAID 7094972

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