MRS. MARY COFFEY BLALOCK OB-GYN NURSE PRACT. NPI 1932169612

NPI Information

NPI: 1932169612
Provider Name: MRS. MARY COFFEY BLALOCK, OB-GYN NURSE PRACT.
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
177 NEW VALE RD
OFFICE OF E.H. PEREZ, MD
NEWLAND, NC
ZIP 28657
Phone: (828) 733-0085
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MRS. Mary Coffey Blalock, OB-GYN NURSE PRACT. is an obstetrics and gynecology nurse practitioner in Newland, NC. MRS. Mary Coffey Blalock, OB-GYN NURSE PRACT. NPI is 1932169612. 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:

177 NEW VALE RD
OFFICE OF E.H. PEREZ, MD
NEWLAND, NC
ZIP 28657-198
Phone: (828) 733-0085

The NPI 1932169612 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 3/25/2006 and was last updated on 4/17/2015.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	0800049	NORTH CAROLINA	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	F60595	MEDICARE UPIN	NORTH CAROLINA
2	E49888	MEDICARE UPIN	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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