Dorothy Blanton, LPN
Individual provider Active NPI Licensed Practical Nurse · Tolleson, AZ
NPI 1104248905 · NPPES record last updated Jan 13, 2014
Key facts
- NPI
- 1104248905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LP030212 (AZ)
- Practice address
- 10207 W Country Place Blvd
Tolleson, AZ 85353-8450 - Phone
- (623) 478-6110
- NPI assigned
- Jan 13, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP030212 | AZ | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP030212 | AZ | Yes |
Addresses
Primary practice location
10207 W Country Place Blvd
Tolleson, AZ 85353-8450
Mailing address
10207 W Country Place Blvd
Tolleson, AZ 85353-8450
Phone (623) 478-6110
Other providers in Tolleson, AZ
- Best Hills Behavioral Health
- Anna Bice
- Big Hearts LLC
- Amanda Jean Bigar
- BJ Homecare Services LLC
- Karen Lee Bloom
- Blossom Hills Homes LLC
- R Michael Blumhoff Jr.
- Raymond Dela Cruz Borja Jr.
- Brandon Boucher
All providers in Tolleson, AZ · Licensed Practical Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.