Blackwell, Locianna

Blackwell, Locianna is an individual health care provider with primary practice located at 1951 Sw 172 Ave Suite 313, Miramar FL 33029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blackwell, Locianna can be contacted via phone (954) 265-4325.

Contact Information

Primary practice address
1951 Sw 172 Ave Suite 313 Miramar FL 33029
Phone: (954) 265-4325
Fax: (954) 443-4747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9460860 Florida

Profile Details

NPI number 1356657704
LBN Legal business name Blackwell, Locianna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Mar 22nd, 2021 - about 4 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 1356657704 NPPES
Florida MEDICAID 022481400

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