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NPI Code Detail

MEDICARE: HEATHER BLAZEJEWSKI RN

MEDICARE: HEATHER BLAZEJEWSKI RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN39878RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427190859
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER BLAZEJEWSKI RN
Provider Business Mailing Address
First Line : 119 WALDRON AVE
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-6833
Country : US
Telephone Number : 401-331-1350
Fax Number : 401-277-3366
Provider Business Practice Location Address
First Line : 650 TEN ROD RD UNIT 13
Second Line : FAMILY SERVICE OF RHODE ISLAND, INC
City : NORTH KINGSTOWN
State : RI
Zip : 02852-4237
Country : US
Telephone Number : 401-331-1350
Fax Number : 401-277-3366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/08/2007

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