AMY BLACKBURN RN NPI 1154983245

NPI Information

NPI: 1154983245
Provider Name: AMY BLACKBURN, RN
Classification: Registered Nurse - 163WC1500X
Specialization: Community Health
Entity Type: Individual
Address: 4041 S MCCLINTOCK DR STE 302
TEMPE, AZ
ZIP 85282
Phone: (480) 339-1780

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NPI Details

Amy Blackburn, RN is a community health registered nurse in Tempe, AZ. Amy Blackburn, RN NPI is 1154983245. 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:

4041 S MCCLINTOCK DR STE 302
TEMPE, AZ
ZIP 85282-879
Phone: (480) 339-1780

The enumeration date for this NPI number is 6/28/2019 and was last updated on 6/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	RN109983	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	46-3827580	OTHER	ARIZONA	ADOBE CARE AND WELLNESS LLC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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