Individual provider · Type 1 NPI
Peter Joel Blackburne, RN
Psychiatric/Mental Health Registered Nurse · Valley Stream, NY
NPI number
1801371786
Active
Practice location
3 Jefferson Ave
Valley Stream, NY 11580-2925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 535252 (NY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1801371786
Peter Joel Blackburne, RN's National Provider Identifier is 1801371786, issued on Sep 26, 2018. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Valley Stream, NY. The record was last updated on Oct 10, 2018.