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BLONDELS HEALTH SERVICES LLC NPI 1972210037


NPI Information

NPI: 1972210037
Provider Name: BLONDELS HEALTH SERVICES LLC

Other Name: BLONDEL'S HEALTH SERVICES, LLC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
5 SCALLY CIR
RANDOLPH, MA
ZIP 02368
Phone: (339) 837-1449
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BLONDELS HEALTH SERVICES LLC is a family nurse practitioner in Randolph, MA. BLONDELS HEALTH SERVICES LLC NPI is 1972210037. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Blondel's Health Services, Llc.

The provider's business location address is:

5 SCALLY CIR
RANDOLPH, MA
ZIP 02368-443
Phone: (339) 837-1449
Fax: (339) 837-1076

The provider's authorized official is Blondel L Jarvis .
The authorized official title is Np/owner and has the following contact phone number (339) 837-1449.

The enumeration date for this NPI number is 10/28/2022 and was last updated on 10/5/2023.


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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2363LF0000XNurse PractitionerFamilyYes

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
1110202833AMEDICAIDMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.