- Practice location
- 900 Broadway, Bangor, ME 04401
- Phone
- 207-907-3300
- Fax
- 207-907-1923
- Last updated
- December 6, 2019
Tina Marie Blackley is a Nurse Practitioner, Family based in Bangor, ME. Tina Marie Blackley practices in Bangor, ME and has the professional credentials of APRN FNP-C. The NPI Number for Tina Marie Blackley is 1962937417 and holds a License No. CNP171038 (ME). The current practice location address for Tina Marie Blackley is 900 Broadway, Bangor, ME 04401 and can be reached out via phone at 207-907-3300 and via fax at 207-907-1923.
Provider Profile Details
- NPI Number
- 1962937417
- Provider Name
- Tina Marie Blackley
- Credential
- APRN FNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 900 Broadway, Bangor, ME 04401
- Phone Number
- 207-907-3300
- Fax Number
- 207-907-1923
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 21, 2017
- Last Update Date
- December 6, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 900 Broadway
Bangor, ME 04401 - City
- Bangor
- State
- Maine
- Zip
- 04401
- Phone Number
- 207-907-3300
- Fax Number
- 207-907-1923
Provider Business Mailing Address Details
- Address
- C/O St Marys Health System - Provider Enrollment
Po Box 7291
Lewiston, ME 04243-7291 - City
- Lewiston
- State
- ME
- Zip
- 04243-7291
- Phone Number
- 207-777-8560
- Fax Number
- 207-777-8800
License Information
- License Number
- CNP171038
- License State
- ME
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Bangor, ME
View all Nurse Practitioner, Family providers in Bangor →- Abigail Chick, CFNPNurse Practitioner, Family · NPI 1932816519
- Cassie J Carver-Bialer, FNPNurse Practitioner, Family · NPI 1205171147
- Cherie Christopherson, FNP-CNurse Practitioner, Family · NPI 1659730323
- Christie L Brown, FNPNurse Practitioner, Family · NPI 1770524852
- Chrystal A Adams, FNPNurse Practitioner, Family · NPI 1235180209
- Dina L Cole, APRNNurse Practitioner, Family · NPI 1124527460
Frequently Asked Questions
What is the NPI number of Tina M Blackley, APRN FNP-C?
The NPI number of Tina M Blackley, APRN FNP-C is 1962937417. It was assigned on April 21, 2017 and is currently active in the NPPES registry.
What is the specialty of Tina M Blackley, APRN FNP-C?
Tina M Blackley, APRN FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP171038.
Where does Tina M Blackley, APRN FNP-C practice?
The practice location is 900 Broadway, Bangor, ME 04401. The office can be reached at 207-907-3300 (phone) or 207-907-1923 (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 1962937417 directly on the NPPES registry website.