Provider Demographics
NPI:1265442826
Name:BLATTNER, FRANCINE F (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:F
Last Name:BLATTNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:17 COLE FIELD RD
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-9676
Mailing Address - Country:US
Mailing Address - Phone:207-761-5876
Mailing Address - Fax:207-799-8156
Practice Address - Street 1:1486B BROADWAY
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2602
Practice Address - Country:US
Practice Address - Phone:207-761-5876
Practice Address - Fax:207-799-8156
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME96832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B86512Medicare UPIN
ME114090099Medicaid
ME015060BLMedicare ID - Type Unspecified