Individual
MS. ELAINE M BLECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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
Update your record
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