Active NPIIndividual provider

Mary L Blankson, APRN

Nurse Practitioner, Family in New London, Connecticut

NPI Number1972587582
Practice location
1 Shaws Cv, New London, CT 06320-4902
Fax
860-443-8720
Last updated
November 29, 2013

Mary L Blankson is a Nurse Practitioner, Family based in New London, CT. Mary L Blankson practices in New London, CT and has the professional credentials of APRN. The NPI Number for Mary L Blankson is 1972587582 and holds a License No. 003321 (CT). The current practice location address for Mary L Blankson is 1 Shaws Cv, New London, CT 06320-4902 and can be reached out via phone at 860-447-8304 and via fax at 860-443-8720.

Provider Profile Details

NPI Number
1972587582
Provider Name
Mary L Blankson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1 Shaws Cv, New London, CT 06320-4902
Phone Number
860-447-8304
Fax Number
860-443-8720
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
-- Mary E Laplante, APRN (Former Name)
Provider Enumeration Date
December 6, 2005
Last Update Date
November 29, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Shaws Cv
New London, CT 06320-4902
Zip
06320-4902
Phone Number
860-447-8304
Fax Number
860-443-8720
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
575 Main St Fl 2
Attn: Credentialing Department
Middletown, CT 06457-2845
City
Middletown
State
CT
Zip
06457-2845
Phone Number
860-347-6971
Fax Number
860-638-6601

License Information

License Number
003321
License State
CT
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 Mary L Blankson, APRN?

The NPI number of Mary L Blankson, APRN is 1972587582. It was assigned on December 6, 2005 and is currently active in the NPPES registry.

What is the specialty of Mary L Blankson, APRN?

Mary L Blankson, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 003321.

Where does Mary L Blankson, APRN practice?

The practice location is 1 Shaws Cv, New London, CT 06320-4902. The office can be reached at 860-447-8304 (phone) or 860-443-8720 (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 1972587582 directly on the NPPES registry website.

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