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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE LYNN BLACKWOOD

Active Sole Proprietor

STEPHANIE LYNN BLACKWOOD is a Home Health Aide healthcare provider located in LOVINGTON, New Mexico. NPI 1790321628 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · LOVINGTON, NM

Registration Details

NPI Number
1790321628
Provider Type
Individual
Gender
Female
NPI Issued
Nov 26, 2019 (6.7496200536024 yrs)
Last Updated
Nov 26, 2019
License
84-3728469 (NM)
Sole Proprietor
Yes

Practice Information

Address
208 W AVENUE P
LOVINGTON, NM, 882605419
Browse NM providers · Browse ZIP 88260
Phone
5759640730
Primary Specialty
Home Health Aide
374U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.