Individual provider · Type 1 NPI
Anna L. Blackford
Private Vehicle · Sagle, ID
NPI number
1114236429
Active
Practice location
455 39 G Rd
Sagle, ID 83860-8960
Mailing address
PO Box 573
Ponderay, ID 83852-0573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | QK307464B (ID) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1114236429
Anna L. Blackford's National Provider Identifier is 1114236429, issued on Oct 4, 2010. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Sagle, ID. The record was last updated on Oct 4, 2010.