Blackstone, Karmen K

Blackstone, Karmen K is an individual health care provider with primary practice located at 14 Thomas Point Rd , Brunswick ME 04011-3911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Blackstone, Karmen K can be contacted via phone (207) 442-0325.

Contact Information

Primary practice address
14 Thomas Point Rd Brunswick ME 04011-3911
Phone: (207) 442-0325
Fax: (207) 443-4578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R043926 Maine

Profile Details

NPI number 1962471888
LBN Legal business name Blackstone, Karmen K
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962471888 NPPES
Maine MEDICAID 2676600

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