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Contact Information

CONNIE M BLACKMORE, RN
3155 CORTE CABRILLO DRIVE
APTOS, CA95003
 Phone: 831-465-1421
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

163WG0000X
Indicates primary specialty

NPI Profile & details for CONNIE M BLACKMORE · (Female)

NPI # 1548469588
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/11/2007
Last updated 07/11/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 513345
Hospital affiliation(s) Not Available
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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