1922353242 NPI number — MS. MEGAN MICHELLE BLANCHARD REGISTERED NURSE RN7

Table of content: MS. MEGAN MICHELLE BLANCHARD REGISTERED NURSE RN7 (NPI 1922353242)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922353242 NPI number — MS. MEGAN MICHELLE BLANCHARD REGISTERED NURSE RN7

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BLANCHARD
Provider First Name:
MEGAN
Provider Middle Name:
MICHELLE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
REGISTERED NURSE RN7
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922353242
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1470, #51 INDUSTRIAL PARKWAY
Provider Second Line Business Mailing Address:
TRINITY COUNTY HEALTH & HUMAN SERVICES
Provider Business Mailing Address City Name:
WEAVERVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
96093
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-623-8224
Provider Business Mailing Address Fax Number:
530-623-1297

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
#51 INDUSTRIAL PARK
Provider Second Line Business Practice Location Address:
TRINITY COUNTY HEALTH & HUMAN SERVICES
Provider Business Practice Location Address City Name:
WEAVERVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-623-8224
Provider Business Practice Location Address Fax Number:
530-623-1297
Provider Enumeration Date:
07/24/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  RN779037 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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