Individual provider · Type 1 NPI
Connie M. Blackmore, RN
General Practice Registered Nurse · Aptos, CA
NPI number
1548469588
Active
Practice location
3155 Corte Cabrillo Drive
Aptos, CA 95003
Mailing address
PO Box 523
Soquel, CA 95073-0523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 513345 (CA) |
General Practice Registered Nurse: Definition to come...
About NPI 1548469588
Connie M. Blackmore, RN's National Provider Identifier is 1548469588, issued on Jul 11, 2007. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Aptos, CA. The record was last updated on Jul 11, 2007.