Provider Demographics
NPI:1831303627
Name:BLASHILL, ROSEMARY (RNC MSN)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:BLASHILL
Suffix:
Gender:F
Credentials:RNC MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-1739
Mailing Address - Country:US
Mailing Address - Phone:906-632-9886
Mailing Address - Fax:
Practice Address - Street 1:508 ASHMUN ST
Practice Address - Street 2:SUITE 120
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-1976
Practice Address - Country:US
Practice Address - Phone:906-635-3606
Practice Address - Fax:906-253-1466
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704068384363LC1500X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5008706660OtherBCBS
MI4905004Medicaid