Judith Blaikie
Licensed Practical Nurse in Brockton, MA. Individual provider (NPI-1).
NPI number1053138024
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1053138024
- Entity type
- Individual (NPI-1)
- Name
- Judith Blaikie
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2024
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN66638 | MA | Yes |
Practice location
20 Martin PlBrockton, MA 02301-6047
Phone 774-297-0379
Mailing address
460 Quincy AveQuincy, MA 02169-8130
Phone 774-297-0379
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