Healthcare Provider Details

I. General information

NPI: 1588797955
Provider Name (Legal Business Name): BARBARA H. BLANDFORD M.S., A.P.R.N.C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 LINDALL ST BEVERLY HOSPITAL HUNT CENTER, CTR FOR HEALTHY AGING
DANVERS MA
01923-2121
US

IV. Provider business mailing address

12 TYLER RD
BEVERLY MA
01915-4743
US

V. Phone/Fax

Practice location:
  • Phone: 978-774-4400
  • Fax: 978-750-6988
Mailing address:
  • Phone: 978-524-8199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number121129 - NP
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: