Provider Demographics
NPI:1003046913
Name:HEMBY, BLANCHE DENISE (APRN)
Entity Type:Individual
Prefix:
First Name:BLANCHE
Middle Name:DENISE
Last Name:HEMBY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SHEILA AVENUE
Mailing Address - Street 2:
Mailing Address - City:SEAVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08230
Mailing Address - Country:US
Mailing Address - Phone:609-390-2623
Mailing Address - Fax:
Practice Address - Street 1:1 SHEILA AVENUE
Practice Address - Street 2:
Practice Address - City:SEAVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08230
Practice Address - Country:US
Practice Address - Phone:609-390-2623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00225900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0216313Medicaid
NJ169489Medicare PIN