Rodgers-Blankenship, Mauna-Loa Marquette
Rodgers-Blankenship, Mauna-Loa Marquette is an individual health care provider with primary practice located at 72549 Highway 111 , Palm Desert CA 92260-3306. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rodgers-Blankenship, Mauna-Loa Marquette can be contacted via phone (760) 340-9158.Contact Information
Primary practice address
72549 Highway 111
Palm Desert CA 92260-3306
Phone: (760) 340-9158
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95004020 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95004020 | California |
Profile Details
NPI number | 1518413087 |
---|---|
LBN Legal business name | Rodgers-Blankenship, Mauna-Loa Marquette |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2016 |
Last updated | Nov 29th, 2021 - about 3 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 | 1518413087 | NPPES |
California | MEDICAID | 1518413087 | |
California | MEDICAID | 95004020 | |
California | Other | 1518413087 |
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