Individual
ELENA VICTOROVNA BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SRNA, MBA, BSN, CCRN
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-5000
Mailing address
6537 FERN ST, NAVARRE, FL 32566-8045
(509) 607-8893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R253634
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R253634
RN
MD
Enumeration date
10/13/2022
Last updated
10/17/2022
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