Beth Blazevich, APRN
Nurse Practitioner, Neonatal in New London, Connecticut
1629171848- Practice location
- 365 Montauk Ave, New London, CT 06320-4700
- Phone
- 860-442-0711
- Fax
- 860-271-4224
- Last updated
- July 9, 2007
Beth Blazevich is a Nurse Practitioner, Neonatal based in New London, CT. Beth Blazevich practices in New London, CT and has the professional credentials of APRN. The NPI Number for Beth Blazevich is 1629171848 and holds a License No. 000492 (CT). The current practice location address for Beth Blazevich is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-442-0711 and via fax at 860-271-4224.
Provider Profile Details
- NPI Number
- 1629171848
- Provider Name
- Beth Blazevich
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 365 Montauk Ave, New London, CT 06320-4700
- Phone Number
- 860-442-0711
- Fax Number
- 860-271-4224
- Primary Taxonomy
- Nurse Practitioner, Neonatal · 363LN0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 6, 2006
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- Connecticut
- Zip
- 06320-4700
- Phone Number
- 860-442-0711
- Fax Number
- 860-271-4224
Provider Business Mailing Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- CT
- Zip
- 06320-4700
- Phone Number
- 860-442-0711
- Fax Number
- 860-271-4224
License Information
- License Number
- 000492
- License State
- CT
- Taxonomy
- Nurse Practitioner, Neonatal · 363LN0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Beth Blazevich, APRN?
The NPI number of Beth Blazevich, APRN is 1629171848. It was assigned on September 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Beth Blazevich, APRN?
Beth Blazevich, APRN is registered under the primary taxonomy Nurse Practitioner, Neonatal (code 363LN0000X), licensed in CT under license number 000492.
Where does Beth Blazevich, APRN practice?
The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-442-0711 (phone) or 860-271-4224 (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 1629171848 directly on the NPPES registry website.