Individual
BRANDY LYNN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
400 WESTERN AVE APT 1, SOUTH PORTLAND, ME 04106-1704
(207) 405-0003
Mailing address
30 WINNOCKS NECK RD APT 1, SCARBOROUGH, ME 04074-8599
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN13866
ME
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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