National Provider Identifier Database

CONNIE M BLACKMORE, RN – NPI #1548469588
General Practice


Contact Information

CONNIE M BLACKMORE, RN
3155 CORTE CABRILLO DRIVE
APTOS, CA95003
Phone: 831-465-1421
Fax:
Website:
Specialty Taxonomy Code
* General Practice 163WG0000X

* Indicates primary specialty

NPI Profile & details for CONNIE M BLACKMORE

NPI Number 1548469588
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/11/2007
Last updated 07/11/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 513345
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.

Reviews for CONNIE M BLACKMORE, RN

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