National Provider Identifier Database

MARY C BLACKBURN, RN CDE – NPI #1003130360
Diabetes Educator


Contact Information

MARY C BLACKBURN, RN CDE
851 E 5TH ST
SUITE 154
WASHINGTON, MO63090-3135
Phone: 636-239-8248
Fax:
Website:
Specialty Taxonomy Code
* Diabetes Educator 163WD0400X

* Indicates primary specialty

NPI Profile & details for MARY C BLACKBURN

NPI Number 1003130360
Credentials RN CDE
Entity Individual
Enumeration date 03/16/2010
Last updated 03/16/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 073470
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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