Individual
ELEANOR BLACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
421 MAIN ST, TARKIO, MO 64491-1544
(660) 736-4121
Mailing address
421 MAIN ST, TARKIO, MO 64491-1544
(660) 736-4121
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
111660
MO
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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