Individual
HENRY BLANCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074-7678
(207) 910-4891
(207) 888-2416
Mailing address
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074-7678
(207) 910-4891
(207) 888-2416
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN79890
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP211267
ME
Other
Enumeration date
07/11/2021
Last updated
11/02/2023
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