Individual provider · Type 1 NPI
Mary Clare Blackburn, RN CDE
Diabetes Educator Registered Nurse · Washington, MO
NPI number
1003130360
Active
Practice location
851 E 5th St, Suite 154
Washington, MO 63090-3135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 073470 (MO) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1003130360
Mary Clare Blackburn, RN CDE's National Provider Identifier is 1003130360, issued on Mar 16, 2010. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Washington, MO. The record was last updated on Mar 16, 2010.