Rodgers-Blankenship, Mauna-Loa Marquette

Rodgers-Blankenship, Mauna-Loa Marquette is an individual health care provider with primary practice located at 72549 Highway 111 , Palm Desert CA 92260-3306. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rodgers-Blankenship, Mauna-Loa Marquette can be contacted via phone (760) 340-9158.

Contact Information

Primary practice address
72549 Highway 111 Palm Desert CA 92260-3306
Phone: (760) 340-9158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95004020 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95004020 California

Profile Details

NPI number 1518413087
LBN Legal business name Rodgers-Blankenship, Mauna-Loa Marquette
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2016
Last updated Nov 29th, 2021 - about 5 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 1518413087 NPPES
California MEDICAID 1518413087
California MEDICAID 95004020
California Other 1518413087

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