Healthcare Provider Details

I. General information

NPI: 1992637193
Provider Name (Legal Business Name): FRANCINE BLINTEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 TOMAC AVE
OLD GREENWICH CT
06870-1800
US

IV. Provider business mailing address

58 TOMAC AVE
OLD GREENWICH CT
06870-1800
US

V. Phone/Fax

Practice location:
  • Phone: 203-550-0987
  • Fax: 888-370-5343
Mailing address:
  • Phone: 203-550-0987
  • Fax: 888-370-5343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number001213
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: