Tina Marie Blackley, APRN FNP-C is a family nurse practitioner in Bangor, ME with 7 years of experience. Tina Marie Blackley, APRN FNP-C NPI is 1962937417. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
900 BROADWAY
BANGOR, ME
ZIP 04401
Phone: (207) 907-3300
Fax: (207) 907-1923
The NPI 1962937417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/21/2017 and was last updated on 12/6/2019.