BRENDA BLACKISTON

WILMINGTON, DE
NPI1255787511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: DE  LG-0000930)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: DE  LG-0000930)
Enumeration Date2016-05-05
Last Update Date2024-06-20
Business Address
BRENDA BLACKISTON NP-C
401 WINSTON AVE
WILMINGTON, DE 19804-1818
Phone number: 302-290-5390
Mailing Address
BRENDA BLACKISTON NP-C
101 CHESAPEAKE BLVD STE B
ELKTON, MD 21921-6607
Phone number: 903-948-8566
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