Individual
MS. ELAINE M BLECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
223 CHIEF JUSTICE CUSHING HWY, STE 101, COHASSET, MA 02025-1391
(781) 383-6800
(781) 383-6504
Mailing address
PO BOX 68, S WEYMOUTH, MA 02190-0001
(780) 803-2786
(781) 812-1631
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
189296
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347230
—
MA
01
—
NP9824
BCBS
MA
Enumeration date
11/03/2005
Last updated
10/03/2024
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