Active NPIIndividual providerSole proprietor

Jennifer R Blastow, NP-C

Nurse Practitioner, Family in Norway, Maine

NPI Number1023180569
Practice location
193 Main St, Suite 1, Norway, ME 04268-5645
Fax
207-743-6306
Last updated
August 7, 2012

Jennifer Rebecca Blastow is a Nurse Practitioner, Family based in Norway, ME. Jennifer Rebecca Blastow practices in Norway, ME and has the professional credentials of NP-C. The NPI Number for Jennifer Rebecca Blastow is 1023180569 and holds a License No. CNP81266 (ME). The current practice location address for Jennifer Rebecca Blastow is 193 Main St, Suite 1, Norway, ME 04268-5645 and can be reached out via phone at 207-743-7721 and via fax at 207-743-6306.

Provider Profile Details

NPI Number
1023180569
Provider Name
Jennifer Rebecca Blastow
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
193 Main St, Suite 1, Norway, ME 04268-5645
Phone Number
207-743-7721
Fax Number
207-743-6306
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 13, 2006
Last Update Date
August 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
193 Main St
Suite 1
Norway, ME 04268-5645
City
Norway
State
Maine
Zip
04268-5645
Phone Number
207-743-7721
Fax Number
207-743-6306
Norway, ME 04268Get directions →

Provider Business Mailing Address Details

Address
301C US Route 1
Scarborough, ME 04074-9701
City
Scarborough
State
ME
Zip
04074-9701
Phone Number
207-396-8600
Fax Number
207-396-8632

License Information

License Number
CNP81266
License State
ME
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Jennifer R Blastow, NP-C?

The NPI number of Jennifer R Blastow, NP-C is 1023180569. It was assigned on November 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Jennifer R Blastow, NP-C?

Jennifer R Blastow, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP81266.

Where does Jennifer R Blastow, NP-C practice?

The practice location is 193 Main St, Suite 1, Norway, ME 04268-5645. The office can be reached at 207-743-7721 (phone) or 207-743-6306 (fax).

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 1023180569 directly on the NPPES registry website.

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