Sharone Marie Blackburn, is a
Licensed Practical Nurse based in Montebello, California. Sharone Marie Blackburn is licensed to practice in California (license number 694107) and her current practice location is
273 E Beverly Blvd, Montebello, California. She can be reached at her office (for appointments etc.) via phone at
(323) 724-5100.
NPI number for Sharone Marie Blackburn is 1871061572 and her current mailing address is 3000 Goffs Falls Rd, Manchester, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871061572.
Provider's Profile
Full Name | Sharone Marie Blackburn |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 273 E Beverly Blvd, Montebello, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871061572
- Provider Enumeration Date: 11/12/2018
- Last Update Date: 11/12/2018
Medical Identifiers
Medical identifiers for Sharone Marie Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871061572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 694107 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sharone Marie Blackburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sharone Marie Blackburn, 3000 Goffs Falls Rd, Manchester, NH 03103-6109 Ph: (800) 995-2673 | Sharone Marie Blackburn, 273 E Beverly Blvd, Montebello, CA 90640-3775 Ph: (323) 724-5100 |
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