Individual
AMY BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4041 S MCCLINTOCK DR STE 302, TEMPE, AZ 85282-5879
(480) 339-1780
Mailing address
5032 E SINGLETREE ST, APACHE JUNCTION, AZ 85119-8994
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN109983
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-3827580
ADOBE CARE AND WELLNESS LLC
AZ
Enumeration date
06/28/2019
Last updated
06/28/2019
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