Active NPIIndividual providerSole proprietor

Hailey E Blackwood, FNPC

Nurse Practitioner in Bangor, Maine

NPI Number1003586025
Practice location
900 Broadway, Bangor, ME 04401-1900
Fax
—
Last updated
November 11, 2024

Hailey E Blackwood is a Nurse Practitioner based in Bangor, ME. Hailey E Blackwood practices in Bangor, ME and has the professional credentials of FNPC. The NPI Number for Hailey E Blackwood is 1003586025 and holds a License No. CNP211487 (ME). The current practice location address for Hailey E Blackwood is 900 Broadway, Bangor, ME 04401-1900 and can be reached out via phone at 207-907-3300.

Provider Profile Details

NPI Number
1003586025
Provider Name
Hailey E Blackwood
Credential
FNPC
Provider Entity Type
Individual
Gender
Female
Address
900 Broadway, Bangor, ME 04401-1900
Phone Number
207-907-3300
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2021
Last Update Date
November 11, 2024
Certification Date
November 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Broadway
Bangor, ME 04401-1900
City
Bangor
State
Maine
Zip
04401-1900
Phone Number
207-907-3300
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
900 Broadway
Bangor, ME 04401-1900
City
Bangor
State
ME
Zip
04401-1900
Phone Number
207-907-3300

License Information

License Number
CNP211487
License State
ME
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Hailey E Blackwood, FNPC?

The NPI number of Hailey E Blackwood, FNPC is 1003586025. It was assigned on September 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Hailey E Blackwood, FNPC?

Hailey E Blackwood, FNPC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in ME under license number CNP211487.

Where does Hailey E Blackwood, FNPC practice?

The practice location is 900 Broadway, Bangor, ME 04401-1900. The office can be reached at 207-907-3300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003586025 directly on the NPPES registry website.

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