Blanton, Renae
Blanton, Renae is an individual health care provider with primary practice located at 15765 Kingsley Rd , Ninilchik AK 99639-9759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blanton, Renae can be contacted via phone (907) 567-3970.Contact Information
Primary practice address
15765 Kingsley Rd
Ninilchik AK 99639-9759
Phone: (907) 567-3970
Fax: (907) 567-3902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 706 | Alaska |
Profile Details
| NPI number | 1639107824 |
|---|---|
| LBN Legal business name | Blanton, Renae |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Nov 16th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639107824 | NPPES |
| Alaska | MEDICAID | 1619001 |
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