| Doctor Name: | MEIGHAN DINGLE BLANCO |
| NPI Number: | 1053574111 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 282303 |
| Business Practice Address: | 3461 S County Trl Suite 202 East Greenwich, RI - 028181465 |
| Business Phone Number: | 4014713376 |
| Business Fax Number: | 4014716865 |
| Mailing Address: | 3461 S County Trl, Suite 202 EAST GREENWICH |
| State: | RI |
| Postal Code: | 028181465 |
| Phone Number: | 4014713376 |
| Fax Number: | 4014716865 |
| NPI Enumeration Date: | 07/08/2008 |
| NPI Last Update Date: | 09/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 282303 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |