Active NPIIndividual providerSole proprietor

Sally A Blomgren, RN MS CS

Clinical Nurse Specialist, Psych/Mental Health, Adult in Worcester, Massachusetts

NPI Number1619067568
Practice location
78 Burncoat St, Worcester, MA 01605-1350
Fax
508-870-7684
Last updated
February 26, 2016

Sally Ann Blomgren is a Clinical Nurse Specialist, Psych/Mental Health, Adult based in Worcester, MA. Sally Ann Blomgren practices in Worcester, MA and has the professional credentials of RN MS CS. The NPI Number for Sally Ann Blomgren is 1619067568 and holds a License No. 151021 (MA). The current practice location address for Sally Ann Blomgren is 78 Burncoat St, Worcester, MA 01605-1350 and can be reached out via phone at 508-414-5469 and via fax at 508-870-7684.

Provider Profile Details

NPI Number
1619067568
Provider Name
Sally Ann Blomgren
Credential
RN MS CS
Provider Entity Type
Individual
Gender
Female
Address
78 Burncoat St, Worcester, MA 01605-1350
Phone Number
508-414-5469
Fax Number
508-870-7684
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2006
Last Update Date
February 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
78 Burncoat St
Worcester, MA 01605-1350
Zip
01605-1350
Phone Number
508-414-5469
Fax Number
508-870-7684
Worcester, MA 01605Get directions →

Provider Business Mailing Address Details

Address
78 Burncoat St
Worcester, MA 01605-1350
City
Worcester
State
MA
Zip
01605-1350
Phone Number
508-414-5469
Fax Number
508-870-7684

License Information

License Number
151021
License State
MA

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 Sally A Blomgren, RN MS CS?

The NPI number of Sally A Blomgren, RN MS CS is 1619067568. It was assigned on October 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Sally A Blomgren, RN MS CS?

Sally A Blomgren, RN MS CS is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Adult (code 364SP0809X), licensed in MA under license number 151021.

Where does Sally A Blomgren, RN MS CS practice?

The practice location is 78 Burncoat St, Worcester, MA 01605-1350. The office can be reached at 508-414-5469 (phone) or 508-870-7684 (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 1619067568 directly on the NPPES registry website.

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