Blondels Health Services LLC
Nurse Practitioner, Family in Randolph, MA. Organization (NPI-2).
NPI number1972210037
StatusActive
Last updated in NPPESOct 5, 2023
Details
- NPI
- 1972210037
- Entity type
- Organization (NPI-2)
- Legal business name
- Blondels Health Services LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2022
- Certification date
- Oct 5, 2023
- Last updated
- Oct 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Other names
- Blondel'S Health Services, LLC (Other Name)
Practice location
5 Scally CirRandolph, MA 02368-2443
Phone 339-837-1449 · Fax 339-837-1076
Mailing address
5 Scally CirRandolph, MA 02368-2443
Phone 339-837-1449 · Fax 339-837-1076
Authorized official
Blondel L Jarvis
NP/Owner
3398371449
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