Individual
VIRGINIA A BLACKMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
023916-23-05
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30341617
—
NH
01
—
383836
MVP
NH
01
—
40Y002036NH01
ANTHEM
NH
01
—
9756230
CIGNA
NH
01
—
P42158
HARVARD PILGRIM HLTHCARE
NH
Enumeration date
01/24/2006
Last updated
07/08/2007
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