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Contact Information

ANITA J BLACKWELL, RNCPNP
4055 LINDELL BLVD
SAINT LOUIS, MO63108-3201
 Phone: 314-535-7701
 Fax: 314-535-0207
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANITA J BLACKWELL · (Female)

NPI # 1790808681
Status Active
Credentials RNCPNP
Entity Individual
Enumeration date 04/07/2007
Last updated 09/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 061036
  • TX License # AP133887
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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