National Provider Identifier Database

CHRISTINE BLACKBURN, FNP-C – NPI #1548445505
Family


Contact Information

CHRISTINE BLACKBURN, FNP-C
2603 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE, WA98466-4724
Phone: 253-666-6780
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for CHRISTINE BLACKBURN

NPI Number 1548445505
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 01/08/2008
Last updated 05/12/2025 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • NV License #: 884292
  • WA License #: AP61584580
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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